| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $6,011.00 | $6,945.00 | |
Aetna
| Professional | $2,342.17 | $4,050.55 | $4,050.55 | |
Kaiser Permanente
| Professional | $4,093.27 | $4,308.71 | $4,524.14 | |
United
| Professional | $3,235.23 | $4,089.02 | $12,407.78 |