| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,101.67 | $1,194.65 | $1,330.92 | |
Kaiser Permanente
| Professional | $1,278.80 | $1,628.56 | $2,634.01 | |
United
| Facility | $661.00 | $661.00 | $661.00 | |
United
| Professional | $1,063.67 | $1,333.04 | $2,322.71 |