| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $5,484.00 | $6,718.00 | |
Aetna
| Professional | $3,101.87 | $3,643.73 | $4,464.42 | |
Kaiser Permanente
| Professional | $789.28 | $3,996.85 | $5,195.91 | |
United
| Professional | $3,356.97 | $4,655.26 | $5,995.28 |