| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.99 | $58.99 | $58.99 | |
Aetna
| Professional | $44.95 | $56.63 | $64.37 | |
Anthem BCBS
| Professional | $64.37 | $69.75 | $169.09 | |
Kaiser Permanente
| Professional | $79.63 | $103.52 | $151.30 | |
United
| Professional | $54.06 | $75.68 | $145.94 |