| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $244.00 | $2,800.00 | $6,915.00 | |
Anthem BCBS
| Facility | $7,875.00 | $7,875.00 | $7,875.00 | |
CareSource
| Facility | $263.07 | $309.50 | $443.97 | |
Kaiser Permanente
| Professional | $175.49 | $795.86 | $1,221.07 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |