| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.47 | $281.84 | $338.84 | |
Kaiser Permanente
| Professional | $467.74 | $524.81 | $660.69 | |
United
| Facility | $147.91 | $147.91 | $263.03 | |
United
| Professional | $147.91 | $158.49 | $263.03 |