| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,577.10 | $5,063.00 | $7,421.00 | |
Anthem BCBS
| Facility | $1,206.01 | $3,514.57 | $6,339.18 | |
Kaiser Permanente
| Professional | $1,250.00 | $1,437.50 | $2,669.61 | |
United
| Facility | $1,036.00 | $3,587.00 | $9,079.00 |