| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $8,431.00 | $10,303.00 | |
Aetna
| Professional | $545.05 | $545.05 | $545.05 | |
Kaiser Permanente
| Professional | $1,008.71 | $1,100.41 | $1,283.81 | |
United
| Facility | $7,425.00 | $7,425.00 | $7,425.00 | |
United
| Professional | $693.68 | $924.87 | $1,006.30 |