| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,276.00 | $3,606.96 | $11,918.01 | |
Aetna
| Professional | $4,759.30 | $4,759.30 | $4,759.30 | |
Anthem BCBS
| Facility | $684.00 | $1,188.00 | $5,822.04 | |
Kaiser Permanente
| Professional | $98.34 | $98.34 | $100.00 |