| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,174.90 | $5,495.41 | $10,715.19 | |
Anthem BCBS
| Facility | $7,762.47 | $15,135.61 | $28,183.83 | |
Kaiser Permanente
| Professional | $1,548.82 | $1,548.82 | $5,248.07 | |
United
| Facility | $8,511.38 | $12,022.64 | $20,417.38 |