| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.79 | $98.82 | $160.08 | |
Aetna
| Professional | $35.13 | $57.79 | $78.44 | |
Anthem BCBS
| Professional | $50.48 | $59.67 | $112.98 | |
Kaiser Permanente
| Professional | $36.99 | $48.09 | $85.08 | |
United
| Professional | $42.86 | $78.70 | $128.47 |