| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $275.42 | $354.81 | $407.38 | |
Kaiser Permanente
| Professional | $371.54 | $407.38 | $776.25 | |
United
| Facility | $2,238.72 | $2,238.72 | $2,238.72 | |
United
| Professional | $309.03 | $416.87 | $758.58 |