| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,898.00 | $3,444.00 | |
Aetna
| Professional | $488.00 | $749.38 | $1,000.00 | |
Kaiser Permanente
| Professional | $91.74 | $159.03 | $198.79 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 | |
United
| Professional | $58.21 | $72.36 | $78.56 |