| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $7,762.47 | $10,471.29 | |
Aetna
| Professional | $407.38 | $588.84 | $676.08 | |
Kaiser Permanente
| Professional | $977.24 | $977.24 | $977.24 | |
United
| Facility | $9,120.11 | $25,703.96 | $95,499.26 | |
United
| Professional | $588.84 | $870.96 | $1,412.54 |