| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $496.39 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $985.58 | $2,533.63 | $6,065.87 | |
CareSource
| Facility | $761.81 | $896.24 | $1,063.60 | |
Kaiser Permanente
| Professional | $472.12 | $600.88 | $1,196.17 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |