| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $463.10 | $605.95 | $605.95 | |
Kaiser Permanente
| Professional | $576.67 | $667.74 | $1,214.07 | |
United
| Facility | $413.00 | $413.00 | $413.00 | |
United
| Professional | $479.06 | $616.45 | $1,194.46 |