| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.24 | $2,221.00 | $6,900.00 | |
Aetna
| Facility | 52 | $36.53 | $65.09 | $94.46 |
Anthem BCBS
| Facility | $7,875.00 | $7,875.00 | $7,875.00 | |
Kaiser Permanente
| Professional | $70.29 | $127.40 | $591.00 | |
Kaiser Permanente
| Professional | 52 | $44.66 | $44.66 | $80.95 |
United
| Facility | $389.00 | $1,550.00 | $2,506.00 |