| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $3,388.44 | $10,000.00 | |
Anthem BCBS
| Facility | $6,025.60 | $11,481.54 | $23,988.33 | |
Kaiser Permanente
| Professional | $794.33 | $1,288.25 | $2,818.38 | |
United
| Facility | $2,630.27 | $5,754.40 | $12,302.69 |