| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $222.15 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $7,875.00 | $7,875.00 | $7,875.00 | |
Kaiser Permanente
| Professional | $210.49 | $267.89 | $1,066.39 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |