| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $5,370.32 | $7,413.10 | |
Anthem BCBS
| Facility | $870.96 | $1,905.46 | $2,818.38 | |
Kaiser Permanente
| Professional | $114.82 | $229.09 | $309.03 | |
United
| Facility | $354.81 | $1,513.56 | $2,511.89 |