| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.00 | $94.00 | $94.00 | |
Kaiser Permanente
| Professional | $1,160.17 | $1,265.64 | $1,476.58 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 | |
United
| Professional | $205.96 | $262.17 | $301.95 |