| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $926.26 | $5,063.00 | $7,631.00 | |
Anthem BCBS
| Facility | $1,538.99 | $5,916.00 | $19,414.96 | |
Kaiser Permanente
| Professional | $1,354.85 | $1,785.94 | $12,006.00 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |