| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.97 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $985.58 | $2,533.63 | $6,065.87 | |
Kaiser Permanente
| Professional | $197.68 | $251.59 | $1,829.22 | |
United
| Facility | $1,269.00 | $3,587.00 | $8,133.00 |