| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $524.81 | $4,265.80 | |
Aetna
| Professional | $489.78 | $537.03 | $562.34 | |
Kaiser Permanente
| Professional | $1,412.54 | $1,412.54 | $1,412.54 | |
United
| Professional | $295.12 | $316.23 | $870.96 |