| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.02 | $3,826.00 | $6,915.00 | |
Anthem BCBS
| Facility | $989.09 | $3,640.00 | $8,545.91 | |
Kaiser Permanente
| Professional | $111.65 | $1,394.32 | $1,901.34 | |
United
| Facility | $1,517.00 | $8,182.00 | $11,889.00 |