| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $262.68 | $317.14 | $565.72 | |
Kaiser Permanente
| Professional | $259.44 | $335.46 | $627.33 | |
United
| Facility | $303.00 | $362.00 | $1,109.00 | |
United
| Professional | $437.36 | $596.57 | $918.97 |