| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,047.00 | $4,601.00 | |
Aetna
| Professional | $231.06 | $405.80 | $405.80 | |
Kaiser Permanente
| Professional | $378.45 | $398.37 | $883.31 | |
United
| Facility | $808.00 | $1,171.00 | $26,408.00 | |
United
| Professional | $321.92 | $410.53 | $1,061.02 |