| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $386.92 | $5,063.00 | $7,421.00 | |
Anthem BCBS
| Facility | $996.37 | $2,722.51 | $5,292.58 | |
Kaiser Permanente
| Professional | $398.62 | $465.05 | $1,299.00 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |