| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $7,287.00 | $9,719.00 | |
Kaiser Permanente
| Professional | $833.30 | $1,722.96 | $1,722.96 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $7,287.00 | $9,719.00 | |
Kaiser Permanente
| Professional | $833.30 | $1,722.96 | $1,722.96 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 |