| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $2,454.71 | $7,413.10 | |
Anthem BCBS
| Facility | $588.84 | $851.14 | $1,584.89 | |
Kaiser Permanente
| Professional | $45.71 | $85.11 | $177.83 | |
Kaiser Permanente
| Professional | 80 | $2.34 | $2.34 | $3.63 |
Kaiser Permanente
| Professional | AS | $1.17 | $1.17 | $1.82 |
United
| Facility | $354.81 | $1,513.56 | $2,511.89 |