| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $436.52 | $436.52 | |
Aetna
| Professional | $85.11 | $707.95 | $1,148.15 | |
Kaiser Permanente
| Professional | $45.71 | $48.98 | $295.12 | |
United
| Professional | $125.89 | $891.25 | $1,778.28 |