| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $842.50 | $3,575.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $1,390.06 | $2,455.50 | $2,455.50 | |
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 | $842.50 | $3,575.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $1,390.06 | $2,455.50 | $2,455.50 | |
United
| Facility | $2,648.00 | $3,378.00 | $26,408.00 |