| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.75 | $30.75 | $30.75 | |
Aetna
| Professional | $30.75 | $30.75 | $36.90 | |
Anthem BCBS
| Professional | $36.00 | $36.00 | $36.00 | |
Kaiser Permanente
| Professional | $136.00 | $146.00 | $146.00 | |
United
| Professional | $24.28 | $24.28 | $33.65 |