| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $352.30 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $352.30 | $352.30 | $352.30 | |
Kaiser Permanente
| Professional | $335.48 | $727.16 | $727.16 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 | |
United
| Professional | $320.30 | $500.48 | $880.74 |