| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,444.09 | $1,674.50 | $2,028.65 | |
Kaiser Permanente
| Professional | $1,270.49 | $1,604.83 | $2,331.15 | |
United
| Facility | $661.00 | $661.00 | $661.00 | |
United
| Professional | $1,659.40 | $2,242.71 | $3,831.59 |