| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,090.30 | $5,370.32 | $10,715.19 | |
Anthem BCBS
| Facility | $4,786.30 | $9,332.54 | $17,378.01 | |
Kaiser Permanente
| Professional | $1,513.56 | $1,548.82 | $6,456.54 | |
United
| Facility | $2,630.27 | $6,760.83 | $12,882.50 |