| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.10 | $148.10 | $148.10 | |
Aetna
| Professional | $112.88 | $142.10 | $148.18 | |
Anthem BCBS
| Professional | $68.44 | $151.69 | $362.61 | |
Kaiser Permanente
| Professional | $169.30 | $220.09 | $321.67 | |
United
| Professional | $161.44 | $226.03 | $386.42 |