| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.91 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,732.27 | $6,959.71 | $17,687.80 | |
Kaiser Permanente
| Professional | $207.81 | $270.14 | $634.13 | |
Kaiser Permanente
| Professional | 80 | $14.47 | $14.47 | $14.47 |
Kaiser Permanente
| Professional | AS | $7.23 | $7.23 | $7.23 |
United
| Facility | $607.00 | $3,629.00 | $10,000.00 |