| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $3,630.78 | $7,413.10 | |
Anthem BCBS
| Facility | $794.33 | $2,238.72 | $3,548.13 | |
Kaiser Permanente
| Professional | $104.71 | $131.83 | $338.84 | |
Kaiser Permanente
| Professional | AS | $2.82 | $2.82 | $5.37 |
United
| Facility | $213.80 | $1,513.56 | $2,511.89 |