| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.99 | $2,221.00 | $6,900.00 | |
Anthem BCBS
| Facility | $552.38 | $839.17 | $1,789.93 | |
Kaiser Permanente
| Professional | $48.06 | $73.95 | $177.40 | |
Kaiser Permanente
| Professional | 80 | $2.35 | $2.35 | $3.61 |
Kaiser Permanente
| Professional | AS | $1.17 | $1.17 | $1.81 |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |