| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $3,019.95 | $7,413.10 | |
Aetna
| Facility | 50 | $2,884.03 | $5,495.41 | $7,079.46 |
Anthem BCBS
| Facility | $794.33 | $2,754.23 | $6,025.60 | |
Kaiser Permanente
| Professional | $575.44 | $602.56 | $741.31 | |
United
| Facility | $1,202.26 | $4,168.69 | $6,918.31 |