| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.87 | $6,025.60 | $11,481.54 | |
Anthem BCBS
| Facility | $6,025.60 | $11,481.54 | $23,988.33 | |
Kaiser Permanente
| Professional | $1,548.82 | $1,548.82 | $4,786.30 | |
United
| Facility | $8,511.38 | $12,022.64 | $20,417.38 |