| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,392.61 | $5,175.00 | $9,512.00 | |
Anthem BCBS
| Facility | $1,749.00 | $4,571.60 | $8,545.91 | |
Kaiser Permanente
| Professional | $1,002.90 | $1,276.42 | $2,096.23 | |
United
| Facility | $1,998.00 | $9,193.00 | $18,613.00 |