| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,074.57 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,538.99 | $5,012.33 | $10,649.67 | |
CareSource
| Facility | $3,226.46 | $3,795.84 | $4,424.84 | |
Kaiser Permanente
| Professional | $1,964.07 | $2,499.73 | $3,969.46 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |