| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $3,981.07 | $8,709.64 | |
Anthem BCBS
| Facility | $18,197.01 | $33,113.11 | $69,183.10 | |
Kaiser Permanente
| Professional | $977.24 | $977.24 | $3,981.07 | |
United
| Facility | $15,135.61 | $27,542.29 | $39,810.72 |