| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $3,162.28 | $7,762.47 | |
Aetna
| Professional | $549.54 | $891.25 | $1,148.15 | |
Kaiser Permanente
| Professional | $645.65 | $676.08 | $1,995.26 | |
United
| Facility | $165.96 | $549.54 | $5,888.44 | |
United
| Professional | $457.09 | $954.99 | $1,659.59 |