| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.68 | $31.19 | $208.66 | |
Kaiser Permanente
| Professional | $22.72 | $25.96 | $34.15 | |
United
| Facility | $89.00 | $89.00 | $89.00 | |
United
| Professional | $28.76 | $35.31 | $61.34 |