| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $4,144.00 | $8,043.00 | |
Kaiser Permanente
| Professional | $1,720.53 | $3,576.33 | $3,576.33 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $4,144.00 | $8,043.00 | |
Kaiser Permanente
| Professional | $1,720.53 | $3,576.33 | $3,576.33 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 |