| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $3,801.89 | $10,715.19 | |
Anthem BCBS
| Facility | $3,467.37 | $6,456.54 | $10,964.78 | |
Kaiser Permanente
| Professional | $602.56 | $602.56 | $2,089.30 | |
United
| Facility | $2,630.27 | $5,754.40 | $12,302.69 |