| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,096.48 | $1,445.44 | $1,698.24 | |
Kaiser Permanente
| Professional | $1,698.24 | $1,905.46 | $2,691.53 | |
United
| Facility | $660.69 | $660.69 | $660.69 | |
United
| Professional | $1,258.93 | $1,819.70 | $3,090.30 |