| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,898.00 | $3,444.00 | |
Aetna
| Professional | $8.00 | $8.32 | $53.77 | |
Kaiser Permanente
| Professional | $85.46 | $93.23 | $108.77 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 | |
United
| Professional | $18.97 | $32.03 | $32.18 |