| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $5,248.07 | $9,332.54 | |
Anthem BCBS
| Facility | $6,025.60 | $11,481.54 | $23,988.33 | |
Kaiser Permanente
| Professional | $758.58 | $776.25 | $1,995.26 | |
United
| Facility | $3,548.13 | $8,128.31 | $16,595.87 |