| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $5,495.41 | $5,495.41 | |
Aetna
| Professional | $446.68 | $501.19 | $602.56 | |
Kaiser Permanente
| Professional | $954.99 | $1,047.13 | $1,202.26 | |
United
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
United
| Professional | $602.56 | $707.95 | $870.96 |