| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,215.27 | $5,063.00 | $7,421.00 | |
Anthem BCBS
| Facility | $1,538.99 | $5,012.33 | $10,649.67 | |
CareSource
| Facility | $3,459.33 | $4,027.25 | $4,293.75 | |
Kaiser Permanente
| Professional | $2,103.06 | $2,676.62 | $17,813.00 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |