| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.29 | $5,063.00 | $7,421.00 | |
Anthem BCBS
| Facility | $2,439.08 | $7,591.82 | $21,232.89 | |
Kaiser Permanente
| Professional | $234.05 | $304.27 | $840.84 | |
United
| Facility | $1,738.00 | $7,794.00 | $14,048.00 |