| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $557.08 | $3,460.00 | $6,915.00 | |
Anthem BCBS
| Facility | $964.00 | $2,354.21 | $5,240.56 | |
Kaiser Permanente
| Professional | $462.14 | $626.80 | $943.19 | |
United
| Facility | $1,200.00 | $4,886.00 | $7,889.00 |