| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.30 | $3,826.00 | $6,915.00 | |
Anthem BCBS
| Facility | $759.49 | $2,098.00 | $3,851.83 | |
Kaiser Permanente
| Professional | $299.39 | $475.00 | $1,084.36 | |
United
| Facility | $772.00 | $2,360.00 | $4,066.00 |