| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $4,897.79 | $7,943.28 | |
Anthem BCBS
| Facility | $7,943.28 | $7,943.28 | $7,943.28 | |
Kaiser Permanente
| Professional | $218.78 | $275.42 | $630.96 | |
Kaiser Permanente
| Professional | 80 | $16.60 | $16.60 | $16.60 |
Kaiser Permanente
| Professional | AS | $8.13 | $8.13 | $8.13 |
United
| Facility | $213.80 | $1,513.56 | $2,511.89 |