| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,584.89 | $5,128.61 | $10,000.00 | |
Anthem BCBS
| Facility | $3,467.37 | $6,456.54 | $10,964.78 | |
Kaiser Permanente
| Professional | $645.65 | $660.69 | $1,995.26 | |
United
| Facility | $2,630.27 | $5,754.40 | $12,302.69 |