| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $3,999.00 | $6,456.00 | |
Aetna
| Professional | $280.58 | $307.42 | $307.42 | |
Kaiser Permanente
| Professional | $292.12 | $338.24 | $634.05 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $317.12 | $364.26 | $1,011.38 |