| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $271.39 | $271.39 | $271.39 | |
Aetna
| Professional | $144.69 | $271.39 | $271.39 | |
Kaiser Permanente
| Professional | $272.00 | $286.32 | $589.69 | |
United
| Facility | $808.00 | $1,171.00 | $26,408.00 | |
United
| Professional | $211.05 | $276.27 | $728.72 |