| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.35 | $39.35 | $39.35 | |
Aetna
| Professional | $30.05 | $37.76 | $39.57 | |
Anthem BCBS
| Professional | $40.29 | $40.29 | $105.95 | |
Kaiser Permanente
| Professional | $45.18 | $58.73 | $85.84 | |
United
| Professional | $42.88 | $59.89 | $115.76 |