| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,359.00 | $8,198.00 | $10,821.00 | |
Anthem BCBS
| Facility | $1,700.00 | $2,873.00 | $4,817.00 | |
Kaiser Permanente
| Facility | $100.00 | $20,022.00 | $120,000.00 | |
United
| Facility | $850.00 | $1,739.00 | $3,474.00 |