| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.29 | $5,495.41 | $14,125.38 | |
Anthem BCBS
| Facility | $6,025.60 | $11,481.54 | $23,988.33 | |
Kaiser Permanente
| Professional | $1,000.00 | $3,467.37 | $3,467.37 | |
United
| Facility | $10,232.93 | $14,125.38 | $23,988.33 |