| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.05 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $449.40 | $1,412.00 | $3,784.98 | |
Kaiser Permanente
| Professional | $89.36 | $102.56 | $411.96 | |
United
| Facility | $1,269.00 | $3,218.00 | $5,352.00 |