| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $2,818.38 | $2,818.38 | |
Aetna
| Professional | $309.03 | $426.58 | $501.19 | |
Kaiser Permanente
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Facility | $2,454.71 | $2,454.71 | $2,454.71 | |
United
| Professional | $436.52 | $562.34 | $812.83 |