| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $5,484.00 | $6,718.00 | |
Aetna
| Professional | $382.41 | $382.41 | $382.41 | |
Kaiser Permanente
| Professional | $399.43 | $435.74 | $508.37 | |
United
| Facility | $3,340.00 | $3,340.00 | $3,340.00 | |
United
| Professional | $476.97 | $669.38 | $723.16 |