| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,467.37 | $3,801.89 | $12,022.64 | |
Aetna
| Professional | $4,786.30 | $4,786.30 | $4,786.30 | |
Anthem BCBS
| Facility | $758.58 | $1,348.96 | $5,888.44 | |
Kaiser Permanente
| Professional | $100.00 | $100.00 | $100.00 |