| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $56.23 | $186.21 | |
Anthem BCBS
| Facility | $5,754.40 | $8,128.31 | $25,703.96 | |
Kaiser Permanente
| Professional | $31.62 | $36.31 | $380.19 | |
United
| Facility | $676.08 | $1,479.11 | $2,691.53 |