| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $3,162.28 | $7,762.47 | |
Aetna
| Professional | $223.87 | $380.19 | $977.24 | |
Kaiser Permanente
| Professional | $389.05 | $407.38 | $870.96 | |
United
| Facility | $165.96 | $549.54 | $5,888.44 | |
United
| Professional | $389.05 | $549.54 | $1,023.29 |