| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $192.16 | $196.42 | $196.42 | |
Kaiser Permanente
| Professional | $114.68 | $135.62 | $246.57 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $273.67 | $340.23 | $626.17 |