| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.76 | $44.76 | $44.76 | |
Aetna
| Professional | $36.75 | $44.76 | $49.01 | |
Kaiser Permanente
| Professional | $40.77 | $49.84 | $80.20 | |
United
| Professional | $29.30 | $39.13 | $71.11 |