| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $353.91 | $2,960.00 | $6,915.00 | |
Anthem BCBS
| Facility | $759.49 | $2,098.00 | $3,851.83 | |
Kaiser Permanente
| Professional | $295.43 | $442.65 | $504.53 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |