| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.54 | $5,063.00 | $7,631.00 | |
Anthem BCBS
| Facility | $1,298.47 | $4,632.74 | $11,033.11 | |
Kaiser Permanente
| Professional | $201.43 | $235.00 | $1,307.00 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |