| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.04 | $5,370.32 | $9,549.93 | |
Anthem BCBS
| Facility | $741.31 | $1,819.70 | $3,548.13 | |
Kaiser Permanente
| Professional | $83.18 | $97.72 | $407.38 | |
United
| Facility | $707.95 | $3,090.30 | $5,370.32 |