| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $501.19 | $575.44 | $691.83 | |
Kaiser Permanente
| Professional | $954.99 | $954.99 | $1,348.96 | |
United
| Facility | $295.12 | $295.12 | $537.03 | |
United
| Professional | $295.12 | $316.23 | $537.03 |