| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.90 | $6,871.00 | $10,850.00 | |
Anthem BCBS
| Facility | $1,839.72 | $5,065.00 | $23,672.92 | |
Kaiser Permanente
| Professional | $92.25 | $119.93 | $155.90 | |
United
| Facility | $1,998.00 | $9,193.00 | $18,613.00 |