| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $3,801.89 | $8,912.51 | |
Anthem BCBS
| Facility | $4,570.88 | $9,549.93 | $17,378.01 | |
Kaiser Permanente
| Professional | $467.74 | $467.74 | $1,905.46 | |
United
| Facility | $2,630.27 | $5,754.40 | $12,302.69 |