| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,849.55 | $1,921.18 | $2,283.40 | |
Kaiser Permanente
| Professional | $2,434.56 | $3,140.58 | $4,444.82 | |
United
| Facility | $661.00 | $661.00 | $661.00 | |
United
| Professional | $1,669.43 | $2,146.71 | $3,525.01 |