| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.24 | $56.24 | $263.20 | |
Kaiser Permanente
| Professional | $88.39 | $96.42 | $112.49 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 | |
United
| Professional | $70.42 | $95.99 | $99.61 |