| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.06 | $5,063.00 | $7,421.00 | |
Aetna
| Professional | $49.99 | $70.09 | $82.42 | |
Anthem BCBS
| Professional | $56.55 | $75.17 | $140.35 | |
Kaiser Permanente
| Professional | $71.67 | $87.59 | $111.48 | |
United
| Professional | $74.06 | $100.28 | $184.63 |