| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,376.35 | $5,672.00 | $12,941.00 | |
Anthem BCBS
| Facility | $2,361.69 | $10,174.93 | $34,380.73 | |
CareSource
| Facility | $2,156.31 | $2,536.85 | $2,958.57 | |
Kaiser Permanente
| Professional | $1,313.25 | $1,476.71 | $2,017.62 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |