| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $524.81 | $602.56 | $794.33 | |
Kaiser Permanente
| Professional | $1,000.00 | $1,000.00 | $1,412.54 | |
United
| Facility | $309.03 | $309.03 | $562.34 | |
United
| Professional | $309.03 | $331.13 | $562.34 |