| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $548.86 | $548.86 | $548.86 | |
Anthem BCBS
| Professional | $4,560.00 | $4,560.00 | $4,560.00 | |
Kaiser Permanente
| Professional | $799.00 | $842.00 | $842.00 | |
United
| Professional | $4,800.00 | $4,800.00 | $5,563.68 |