| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.55 | $2,800.00 | $6,915.00 | |
Anthem BCBS
| Facility | $552.38 | $848.40 | $1,789.93 | |
Kaiser Permanente
| Professional | $156.30 | $166.58 | $425.56 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |