| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $2,344.23 | $7,079.46 | |
Anthem BCBS
| Facility | $7,943.28 | $7,943.28 | $7,943.28 | |
Kaiser Permanente
| Professional | $87.10 | $1,174.90 | $1,995.26 | |
Kaiser Permanente
| Professional | 52 | $64.57 | $64.57 | $676.08 |
United
| Facility | $213.80 | $1,513.56 | $2,511.89 |