| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.12 | $244.00 | $244.00 | |
Kaiser Permanente
| Professional | $32.90 | $35.90 | $41.89 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 | |
United
| Professional | $15.61 | $24.03 | $25.61 |