| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $2,818.38 | $2,818.38 | |
Aetna
| Professional | $83.18 | $151.36 | $177.83 | |
Kaiser Permanente
| Professional | $181.97 | $199.53 | $251.19 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 | |
United
| Professional | $144.54 | $204.17 | $257.04 |