| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $8,511.38 | $8,511.38 | |
Aetna
| Professional | $933.25 | $1,148.15 | $1,548.82 | |
Kaiser Permanente
| Professional | $257.04 | $1,412.54 | $1,778.28 | |
United
| Facility | $2,137.96 | $2,137.96 | $2,137.96 | |
United
| Professional | $1,479.11 | $1,949.84 | $2,570.40 |