| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $304.64 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $185.62 | $304.64 | $482.11 | |
Kaiser Permanente
| Professional | $289.72 | $304.97 | $627.33 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 | |
United
| Professional | $417.65 | $601.69 | $1,115.25 |