| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $3,388.44 | $7,413.10 | |
Anthem BCBS
| Facility | $794.33 | $2,238.72 | $3,548.13 | |
Kaiser Permanente
| Professional | $190.55 | $363.08 | $549.54 | |
United
| Facility | $549.54 | $2,238.72 | $3,467.37 |