| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.46 | $41.46 | $41.46 | |
Aetna
| Professional | $34.35 | $41.46 | $46.18 | |
Kaiser Permanente
| Professional | $42.41 | $51.34 | $66.95 | |
United
| Professional | $35.86 | $46.67 | $95.30 |