| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $272.44 | $2,680.16 | $6,915.00 | |
Anthem BCBS
| Facility | $759.49 | $2,152.57 | $4,143.39 | |
Kaiser Permanente
| Professional | $186.35 | $363.02 | $394.63 | |
United
| Facility | $772.00 | $2,360.00 | $4,066.00 |