| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $915.57 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $985.58 | $2,533.63 | $6,065.87 | |
CareSource
| Facility | $1,418.70 | $1,669.07 | $1,952.45 | |
Kaiser Permanente
| Professional | $866.65 | $1,103.00 | $2,446.19 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |