| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $204.17 | $263.03 | $302.00 | |
Kaiser Permanente
| Professional | $295.12 | $338.84 | $478.63 | |
United
| Facility | $128.82 | $128.82 | $128.82 | |
United
| Professional | $239.88 | $346.74 | $575.44 |