| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $632.00 | $3,460.00 | $6,915.00 | |
Anthem BCBS
| Facility | $7,875.00 | $7,875.00 | $7,875.00 | |
Kaiser Permanente
| Professional | $162.18 | $210.83 | $1,093.00 | |
United
| Facility | $212.00 | $1,550.00 | $2,665.00 |