| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $6,165.95 | $10,964.78 | |
Anthem BCBS
| Facility | $1,479.11 | $3,890.45 | $6,918.31 | |
Kaiser Permanente
| Professional | $1,202.26 | $1,737.80 | $9,772.37 | |
Kaiser Permanente
| Professional | 80 | $85.11 | $85.11 | $131.83 |
United
| Facility | $1,258.93 | $6,309.57 | $12,022.64 |