| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.52 | $2,221.00 | $6,858.00 | |
Anthem BCBS
| Facility | $759.49 | $2,098.00 | $3,851.83 | |
Kaiser Permanente
| Professional | $101.76 | $186.19 | $403.43 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |