| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $166.00 | $4,733.00 | $6,915.00 | |
Anthem BCBS
| Facility | $822.79 | $1,791.76 | $3,132.87 | |
Kaiser Permanente
| Professional | $119.43 | $197.82 | $309.52 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |