| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $2,344.23 | $7,079.46 | |
Anthem BCBS
| Facility | $794.33 | $2,089.30 | $3,548.13 | |
Kaiser Permanente
| Professional | $102.33 | $239.88 | $407.38 | |
United
| Facility | $213.80 | $1,513.56 | $2,511.89 |