| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $3,715.35 | $10,964.78 | |
Anthem BCBS
| Facility | $4,570.88 | $9,549.93 | $17,378.01 | |
Kaiser Permanente
| Professional | $660.69 | $676.08 | $2,454.71 | |
United
| Facility | $3,548.13 | $8,128.31 | $16,595.87 |