| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.93 | $34.93 | $34.93 | |
Aetna
| Professional | $29.10 | $34.93 | $40.65 | |
Kaiser Permanente
| Professional | $31.42 | $38.40 | $71.12 | |
United
| Professional | $23.18 | $30.01 | $69.16 |