| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,100.00 | $6,456.00 | |
Kaiser Permanente
| Professional | $741.20 | $1,544.77 | $1,544.77 | |
United
| Facility | $1,832.00 | $2,343.00 | $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 | $6,456.00 | |
Kaiser Permanente
| Professional | $741.20 | $1,544.77 | $1,544.77 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |