| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.02 | $0.02 | $0.02 | |
Anthem BCBS
| Professional | $80.75 | $80.75 | $80.75 | |
Blue Shield
| Professional | $40.00 | $40.00 | $100.00 | |
Kaiser Permanente
| Professional | $60.00 | $87.00 | $393.93 |