| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $847.75 | $3,391.00 | $6,915.00 | |
Aetna
| Professional | $2,438.00 | $3,817.00 | $6,915.00 | |
Anthem BCBS
| Professional | $6.80 | $8.01 | $8.01 | |
Kaiser Permanente
| Professional | $98.34 | $98.34 | $98.34 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |