| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $780.27 | $780.27 | $780.27 | |
Anthem BCBS
| Facility | $1,591.00 | $1,641.00 | $1,727.00 | |
Blue Shield
| Facility | $62.90 | $98.70 | $567.60 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |