| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.81 | $4,592.00 | $6,915.00 | |
Anthem BCBS
| Facility | $992.53 | $2,628.21 | $5,240.56 | |
Kaiser Permanente
| Professional | $268.16 | $397.29 | $630.77 | |
United
| Facility | $1,200.00 | $4,886.00 | $7,889.00 |