| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,248.96 | $6,011.00 | $6,945.00 | |
Aetna
| Facility | 52 | $624.48 | $624.48 | $624.48 |
Kaiser Permanente
| Professional | $1,111.08 | $2,186.69 | $2,427.94 | |
United
| Facility | $3,261.00 | $10,819.00 | $28,056.00 |