| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $2,818.38 | $2,818.38 | |
Blue Shield
| Facility | $74.13 | $91.20 | $100.00 | |
Kaiser Permanente
| Facility | $141.25 | $213.80 | $19,054.61 | |
Sutter Health Plus
| Facility | $1,737.80 | $1,737.80 | $1,737.80 | |
United
| Facility | $5,011.87 | $19,952.62 | $60,255.96 |