| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.67 | $116.34 | $168.75 | |
Anthem BCBS
| Facility | $1,406.20 | $4,415.29 | $8,702.00 | |
Kaiser Permanente
| Professional | $80.55 | $104.72 | $556.80 | |
United
| Facility | $212.00 | $1,550.00 | $2,665.00 |