| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $7,678.00 | $9,462.00 | |
Aetna
| Professional | $471.67 | $471.67 | $471.67 | |
Kaiser Permanente
| Professional | $972.59 | $972.59 | $972.59 | |
United
| Facility | $7,840.00 | $10,006.00 | $47,612.00 | |
United
| Professional | $588.03 | $1,380.23 | $1,408.16 |