| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.44 | $33.72 | $42.06 | |
Kaiser Permanente
| Professional | $38.39 | $45.17 | $52.70 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 | |
United
| Professional | $31.07 | $50.97 | $53.31 |