| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.66 | $3,391.00 | $6,915.00 | |
Anthem BCBS
| Facility | $7,875.00 | $7,875.00 | $7,875.00 | |
Kaiser Permanente
| Professional | $156.06 | $201.07 | $277.62 | |
United
| Facility | $389.00 | $1,550.00 | $2,506.00 |