| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,126.00 | $1,727.00 | $3,232.50 | |
Anthem BCBS
| Facility | $110.00 | $115.50 | $115.50 | |
Kaiser Permanente
| Facility | $330.00 | $330.00 | $499.00 | |
United
| Facility | $1,020.00 | $1,020.00 | $1,750.00 |