| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $2,296.61 | $2,599.92 | $3,033.25 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $2,296.61 | $2,599.92 | $3,033.25 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 |