| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.97 | $5,063.00 | $7,421.00 | |
Anthem BCBS
| Facility | $2,023.79 | $7,475.93 | $17,285.06 | |
Kaiser Permanente
| Professional | $248.82 | $348.35 | $1,736.00 | |
United
| Facility | $1,162.00 | $3,629.00 | $9,079.00 |