| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,534.10 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,538.99 | $5,012.33 | $10,649.67 | |
CareSource
| Facility | $2,401.17 | $2,805.00 | $2,990.63 | |
Kaiser Permanente
| Professional | $1,464.79 | $1,864.28 | $3,635.57 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |