| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.87 | $5,370.32 | $9,549.93 | |
Anthem BCBS
| Facility | $1,513.56 | $4,365.16 | $10,000.00 | |
Kaiser Permanente
| Professional | $1,348.96 | $1,698.24 | $3,388.44 | |
United
| Facility | $602.56 | $3,235.94 | $7,943.28 |