| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $3,162.28 | $7,762.47 | |
Aetna
| Professional | $194.98 | $295.12 | $363.08 | |
Kaiser Permanente
| Professional | $346.74 | $363.08 | $457.09 | |
United
| Facility | $1,023.29 | $6,606.93 | $26,302.68 | |
United
| Professional | $245.47 | $331.13 | $676.08 |