| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $5,888.44 | $11,748.98 | |
Anthem BCBS
| Facility | $1,548.82 | $3,467.37 | $4,677.35 | |
Kaiser Permanente
| Professional | $223.87 | $288.40 | $426.58 | |
Kaiser Permanente
| Professional | 80 | $19.50 | $19.50 | $19.50 |
Kaiser Permanente
| Professional | AS | $9.77 | $9.77 | $9.77 |
United
| Facility | $213.80 | $1,513.56 | $2,511.89 |