| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $23.99 | $26.30 | |
Aetna
| Professional | $23.99 | $23.99 | $23.99 | |
Anthem BCBS
| Professional | $26.92 | $26.92 | $45.71 | |
Kaiser Permanente
| Professional | $23.44 | $33.88 | $34.67 | |
Medcost
| Facility | $29.51 | $29.51 | $38.02 | |
United
| Facility | $36.31 | $36.31 | $36.31 | |
United
| Professional | $29.51 | $29.51 | $37.15 |