| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,365.16 | $5,623.41 | $9,549.93 | |
Anthem BCBS
| Facility | $1,737.80 | $4,265.80 | $8,709.64 | |
Kaiser Permanente
| Professional | $147.91 | $177.83 | $1,230.27 | |
Kaiser Permanente
| Professional | 80 | $9.55 | $9.55 | $9.55 |
Kaiser Permanente
| Professional | AS | $4.79 | $4.79 | $4.79 |
United
| Facility | $575.44 | $3,235.94 | $7,943.28 |