| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.37 | $2,434.00 | $6,915.00 | |
Anthem BCBS
| Facility | $552.38 | $839.17 | $1,789.93 | |
Kaiser Permanente
| Professional | $96.82 | $125.92 | $284.08 | |
Kaiser Permanente
| Professional | 80 | $4.73 | $4.73 | $6.15 |
Kaiser Permanente
| Professional | AS | $2.37 | $2.37 | $3.08 |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |