| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $5,194.00 | $7,108.58 | |
Kaiser Permanente
| Professional | $615.91 | $1,202.75 | $1,346.50 | |
United
| Facility | $2,648.00 | $3,378.00 | $26,408.00 |
Rpr 1st Ingun Hrna Age 5 Yrs/> Incarcerated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $5,194.00 | $7,108.58 | |
Kaiser Permanente
| Professional | $615.91 | $1,202.75 | $1,346.50 | |
United
| Facility | $2,648.00 | $3,378.00 | $26,408.00 |