| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $963.90 | $3,391.00 | $6,915.00 | |
Anthem BCBS
| Facility | $7,875.00 | $7,875.00 | $7,875.00 | |
CareSource
| Facility | $329.52 | $365.45 | $561.21 | |
Kaiser Permanente
| Professional | $198.51 | $854.68 | $2,960.00 | |
United
| Facility | $212.00 | $1,550.00 | $2,665.00 |