| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $3,999.00 | $6,456.00 | |
Aetna
| Professional | $376.73 | $402.86 | $402.86 | |
Kaiser Permanente
| Professional | $351.42 | $406.91 | $875.04 | |
United
| Facility | $3,261.00 | $10,819.00 | $28,056.00 | |
United
| Professional | $221.92 | $254.91 | $697.13 |