| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,584.89 | $3,981.07 | $26,915.35 | |
Anthem BCBS
| Facility | $15,848.93 | $25,703.96 | $56,234.13 | |
Kaiser Permanente
| Professional | $1,548.82 | $1,584.89 | $5,623.41 | |
United
| Facility | $10,471.29 | $13,803.84 | $23,988.33 |