| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,100.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $825.06 | $1,736.33 | $1,736.33 | |
United
| Facility | $2,648.00 | $3,378.00 | $26,408.00 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,100.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $825.06 | $1,736.33 | $1,736.33 | |
United
| Facility | $2,648.00 | $3,378.00 | $26,408.00 |