| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.03 | $2,307.36 | $6,915.00 | |
Anthem BCBS
| Facility | $7,875.00 | $7,875.00 | $7,875.00 | |
CareSource
| Facility | $175.72 | $197.25 | $212.32 | |
Kaiser Permanente
| Professional | $161.07 | $207.56 | $284.48 | |
United
| Facility | $212.00 | $1,550.00 | $2,665.00 |