| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,349.44 | $5,045.00 | $9,488.00 | |
Anthem BCBS
| Facility | $1,538.99 | $5,012.33 | $10,649.67 | |
CareSource
| Facility | $3,624.98 | $4,264.68 | $5,025.77 | |
Kaiser Permanente
| Professional | $2,230.82 | $2,839.23 | $3,594.36 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |