| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,884.03 | $2,884.03 | |
Aetna
| Professional | $7.94 | $52.48 | $70.79 | |
Kaiser Permanente
| Professional | $54.95 | $72.44 | $93.33 | |
United
| Facility | $1,071.52 | $1,071.52 | $1,071.52 | |
United
| Professional | $19.05 | $26.30 | $32.36 |