| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $5,495.41 | $5,495.41 | |
Aetna
| Professional | $6,606.93 | $10,000.00 | $12,302.69 | |
Kaiser Permanente
| Professional | $776.25 | $831.76 | $977.24 | |
United
| Facility | $3,311.31 | $3,311.31 | $3,311.31 | |
United
| Professional | $2,041.74 | $14,125.38 | $16,218.10 |