| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $475.68 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $270.86 | $475.68 | $475.68 | |
Kaiser Permanente
| Professional | $452.98 | $476.82 | $980.84 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 | |
United
| Professional | $372.34 | $526.69 | $1,212.11 |