| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.73 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,082.33 | $3,013.60 | $5,292.58 | |
Kaiser Permanente
| Professional | $153.07 | $194.81 | $1,134.16 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |