| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $2,818.38 | $2,818.38 | |
Aetna
| Professional | $977.24 | $2,137.96 | $2,398.83 | |
Kaiser Permanente
| Professional | $1,659.59 | $1,819.70 | $2,137.96 | |
United
| Facility | $2,454.71 | $2,454.71 | $2,454.71 | |
United
| Professional | $1,995.26 | $1,995.26 | $2,570.40 | |
University Health Alliance
| Professional | $29.51 | $29.51 | $29.51 |