| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $620.05 | $6,915.00 | $25,903.00 | |
Anthem BCBS
| Facility | $6,850.92 | $15,671.74 | $22,488.92 | |
Kaiser Permanente
| Professional | $335.89 | $391.87 | $769.08 | |
United
| Facility | $353.00 | $2,506.00 | $36,000.00 |