| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.10 | $297.10 | $297.10 | |
Aetna
| Professional | $252.90 | $297.10 | $337.51 | |
Kaiser Permanente
| Professional | $294.91 | $356.99 | $465.65 | |
United
| Professional | $183.23 | $330.19 | $543.52 |