| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $5,495.41 | $15,135.61 | |
Anthem BCBS
| Facility | $14,125.38 | $20,417.38 | $38,904.51 | |
Kaiser Permanente
| Professional | $1,659.59 | $1,698.24 | $10,964.78 | |
United
| Facility | $10,471.29 | $13,803.84 | $23,988.33 |