| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.22 | $25.58 | $28.36 | |
Kaiser Permanente
| Professional | $26.36 | $31.01 | $36.18 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 | |
United
| Professional | $24.57 | $40.28 | $40.75 |