| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.34 | $90.34 | $90.34 | |
Aetna
| Professional | $41.52 | $86.69 | $90.34 | |
Anthem BCBS
| Facility | $70.38 | $125.01 | $147.63 | |
Anthem BCBS
| Professional | $73.73 | $93.33 | $137.65 | |
Kaiser Permanente
| Professional | $58.82 | $58.82 | $82.35 | |
United
| Facility | $569.48 | $747.65 | $747.65 | |
United
| Professional | $68.01 | $123.61 | $209.88 |