| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,144.00 | $8,043.00 | |
Aetna
| Facility | 54 | $730.23 | $730.23 | $730.23 |
Kaiser Permanente
| Professional | $793.90 | $919.25 | $1,750.54 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |