| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $5,370.32 | $9,549.93 | |
Anthem BCBS
| Facility | $1,071.52 | $3,019.95 | $5,754.40 | |
Kaiser Permanente
| Professional | $275.42 | $354.81 | $1,949.84 | |
Kaiser Permanente
| Professional | AS | $13.18 | $13.18 | $13.18 |
United
| Facility | $575.44 | $3,235.94 | $7,943.28 |