| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $5,495.41 | $10,715.19 | |
Anthem BCBS
| Facility | $6,025.60 | $11,481.54 | $23,988.33 | |
Kaiser Permanente
| Professional | $1,148.15 | $1,148.15 | $4,073.80 | |
United
| Facility | $2,630.27 | $5,754.40 | $12,302.69 |