| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.16 | $2,987.00 | $6,915.00 | |
Anthem BCBS
| Facility | $7,875.00 | $7,875.00 | $7,875.00 | |
CareSource
| Facility | $298.31 | $350.96 | $503.57 | |
Kaiser Permanente
| Professional | $199.06 | $854.00 | $1,433.30 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |