| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.69 | $3,391.00 | $6,915.00 | |
Anthem BCBS
| Facility | $996.37 | $2,722.51 | $5,292.58 | |
Kaiser Permanente
| Professional | $66.16 | $86.01 | $406.00 | |
United
| Facility | $607.00 | $3,218.00 | $5,272.00 |