| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.75 | $3,391.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,298.47 | $4,632.74 | $11,033.11 | |
Kaiser Permanente
| Professional | $39.54 | $46.13 | $81.42 | |
United
| Facility | $2,650.00 | $12,757.00 | $38,174.00 |