| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $549.54 | $1,584.89 | $2,137.96 | |
Kaiser Permanente
| Professional | $602.56 | $691.83 | $1,258.93 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 | |
United
| Professional | $1,445.44 | $2,187.76 | $3,548.13 |