| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $254.74 | $5,672.00 | $12,941.00 | |
Anthem BCBS
| Facility | $1,082.33 | $3,143.25 | $6,097.45 | |
Kaiser Permanente
| Professional | $241.04 | $267.67 | $339.47 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |