| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.98 | $76.89 | $90.21 | |
Kaiser Permanente
| Professional | $78.66 | $101.81 | $132.49 | |
United
| Facility | $36.00 | $36.00 | $41.00 | |
United
| Professional | $65.54 | $92.95 | $172.14 |