| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $5,484.00 | $6,718.00 | |
Aetna
| Professional | $46.58 | $46.58 | $46.58 | |
Kaiser Permanente
| Professional | $394.37 | $430.22 | $501.93 | |
United
| Facility | $3,340.00 | $3,340.00 | $3,340.00 | |
United
| Professional | $61.24 | $81.56 | $88.02 |