| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $343.49 | $415.78 | $777.44 | |
Aetna
| Professional | $321.26 | $321.26 | $321.26 | |
Kaiser Permanente
| Professional | $305.19 | $305.19 | $547.54 | |
United
| Professional | $359.05 | $359.05 | $581.94 |