| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $5,623.41 | $10,000.00 | |
Aetna
| Facility | 50 | $2,630.27 | $9,120.11 | $11,481.54 |
Anthem BCBS
| Facility | $3,467.37 | $6,456.54 | $10,964.78 | |
Kaiser Permanente
| Professional | $562.34 | $575.44 | $5,623.41 | |
United
| Facility | $2,630.27 | $5,754.40 | $12,302.69 |