| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,591.00 | $5,958.00 | $10,471.00 | |
Anthem BCBS
| Facility | $382.00 | $1,903.81 | $4,816.00 | |
Kaiser Permanente
| Facility | $100.00 | $4,880.00 | $114,437.00 | |
United
| Facility | $468.00 | $1,249.00 | $3,200.00 |