| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $445.83 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $253.88 | $445.83 | $445.83 | |
Kaiser Permanente
| Professional | $424.54 | $446.88 | $919.33 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 | |
United
| Professional | $329.10 | $444.58 | $1,136.08 |