| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $426.58 | $575.44 | |
Aetna
| Professional | $30.20 | $50.12 | $776.25 | |
Kaiser Permanente
| Professional | $316.23 | $436.52 | $549.54 | |
United
| Professional | $44.67 | $60.26 | $87.10 | |
Wellpoint
| Professional | $120.23 | $120.23 | $173.78 |