| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.00 | $3,391.00 | $6,915.00 | |
Aetna
| Professional | $76.05 | $84.73 | $93.40 | |
Anthem BCBS
| Professional | $98.59 | $154.94 | $500.00 | |
Kaiser Permanente
| Professional | $98.34 | $103.06 | $144.28 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 | |
United
| Professional | $68.45 | $108.75 | $182.88 |