| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.15 | $156.57 | $511.25 | |
Anthem BCBS
| Facility | $996.37 | $2,722.51 | $5,292.58 | |
Kaiser Permanente
| Professional | $134.31 | $634.12 | $634.13 | |
United
| Facility | $1,036.00 | $3,250.00 | $5,272.00 |