| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $3,162.28 | $7,762.47 | |
Aetna
| Professional | $295.12 | $758.58 | $1,096.48 | |
Kaiser Permanente
| Professional | $616.60 | $645.65 | $1,862.09 | |
United
| Facility | $165.96 | $549.54 | $5,888.44 | |
United
| Professional | $354.81 | $562.34 | $1,698.24 |