| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $347.91 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $347.91 | $347.91 | $347.91 | |
Kaiser Permanente
| Professional | $331.30 | $717.40 | $717.40 | |
United
| Professional | $316.35 | $643.02 | $868.95 |