| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.49 | $34.29 | $36.59 | |
Kaiser Permanente
| Professional | $84.48 | $458.89 | $549.29 | |
United
| Facility | $4,617.27 | $4,808.93 | $5,339.02 | |
United
| Professional | $26.03 | $56.15 | $3,078.03 |