| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $505.13 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,082.33 | $3,143.25 | $6,147.04 | |
Kaiser Permanente
| Professional | $499.21 | $698.89 | $3,270.35 | |
Kaiser Permanente
| Professional | AS | $39.49 | $39.49 | $39.49 |
United
| Facility | $607.00 | $3,629.00 | $10,000.00 |