| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $3,162.28 | $7,762.47 | |
Aetna
| Professional | $245.47 | $275.42 | $302.00 | |
Kaiser Permanente
| Professional | $295.12 | $316.23 | $630.96 | |
United
| Facility | $213.80 | $549.54 | $2,511.89 | |
United
| Professional | $239.88 | $346.74 | $741.31 |