| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.47 | $3,460.00 | $6,915.00 | |
Anthem BCBS
| Facility | $7,875.00 | $7,875.00 | $7,875.00 | |
Kaiser Permanente
| Professional | $66.37 | $90.51 | $475.06 | |
United
| Facility | $389.00 | $1,570.00 | $2,665.00 |