| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $5,128.61 | $10,000.00 | |
Anthem BCBS
| Facility | $4,570.88 | $9,549.93 | $17,378.01 | |
Kaiser Permanente
| Professional | $512.86 | $524.81 | $1,445.44 | |
United
| Facility | $2,630.27 | $5,754.40 | $12,302.69 |