| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.67 | $45.67 | $47.78 | |
Kaiser Permanente
| Professional | $26.95 | $31.85 | $57.92 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $16.89 | $99.85 | $183.38 |