| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,314.13 | $5,045.00 | $9,036.00 | |
Anthem BCBS
| Facility | $1,538.99 | $5,012.33 | $10,649.67 | |
CareSource
| Facility | $2,044.19 | $2,404.92 | $2,809.65 | |
Kaiser Permanente
| Professional | $1,247.14 | $1,587.26 | $3,531.21 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |