| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $2,137.96 | $7,762.47 | |
Aetna
| Professional | $141.25 | $173.78 | $199.53 | |
Kaiser Permanente
| Professional | $104.71 | $120.23 | $436.52 | |
United
| Facility | $213.80 | $549.54 | $1,548.82 | |
United
| Professional | $281.84 | $338.84 | $758.58 |