| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.42 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $142.86 | $196.42 | $196.42 | |
Kaiser Permanente
| Professional | $114.67 | $432.92 | $432.92 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $273.67 | $362.42 | $826.08 |