| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $480.00 | $878.00 | $878.00 | |
Anthem BCBS
| Facility | $413.00 | $1,160.00 | $3,232.00 | |
Blue Shield
| Facility | $100.00 | $649.00 | $690.00 | |
Kaiser Permanente
| Facility | $135.00 | $225.00 | $766.00 |