| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.58 | $5,063.00 | $7,421.00 | |
Aetna
| Professional | $35.90 | $49.09 | $55.33 | |
Anthem BCBS
| Professional | $46.57 | $50.45 | $94.20 | |
Kaiser Permanente
| Professional | $51.97 | $63.51 | $86.61 | |
United
| Professional | $51.36 | $67.98 | $124.34 |