| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.66 | $5,063.00 | $7,421.00 | |
Anthem BCBS
| Facility | $2,226.13 | $6,105.48 | $13,137.87 | |
Kaiser Permanente
| Professional | $150.68 | $195.88 | $1,104.00 | |
United
| Facility | $607.00 | $3,629.00 | $9,990.00 |