| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $3,981.07 | $8,709.64 | |
Anthem BCBS
| Facility | $14,125.38 | $20,417.38 | $38,904.51 | |
Kaiser Permanente
| Professional | $107.15 | $109.65 | $616.60 | |
United
| Facility | $2,630.27 | $6,760.83 | $12,882.50 |