| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $291.54 | $416.93 | $464.11 | |
Kaiser Permanente
| Professional | $380.15 | $491.57 | $706.43 | |
United
| Facility | $303.00 | $362.00 | $1,109.00 | |
United
| Professional | $373.14 | $480.99 | $794.11 |