| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,898.00 | $3,444.00 | |
Aetna
| Professional | $196.70 | $1,374.40 | $1,718.00 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Facility | $1,106.00 | $1,106.00 | $1,106.00 | |
University Health Alliance
| Professional | $29.27 | $29.27 | $5,885.00 |