| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $3,235.94 | $8,912.51 | |
Anthem BCBS
| Facility | $3,467.37 | $6,456.54 | $10,964.78 | |
Kaiser Permanente
| Professional | $457.09 | $457.09 | $3,715.35 | |
United
| Facility | $2,630.27 | $6,760.83 | $12,882.50 |