| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $303.07 | $4,592.00 | $7,421.00 | |
Anthem BCBS
| Facility | $1,135.89 | $2,987.00 | $6,315.83 | |
Kaiser Permanente
| Professional | $201.74 | $373.08 | $490.61 | |
United
| Facility | $1,200.00 | $4,886.00 | $7,889.00 |