| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.04 | $3,295.00 | $6,915.00 | |
Anthem BCBS
| Facility | $707.23 | $1,126.70 | $2,098.00 | |
Kaiser Permanente
| Professional | $82.19 | $148.52 | $309.91 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |