| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,080.00 | $4,100.00 | |
Aetna
| Professional | $28.47 | $31.19 | $31.19 | |
Kaiser Permanente
| Professional | $23.29 | $26.97 | $66.55 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $28.37 | $35.31 | $99.70 |