| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.50 | $27.50 | $27.50 | |
Anthem BCBS
| Professional | $180.66 | $180.66 | $180.66 | |
Blue Shield
| Professional | $40.00 | $40.00 | $40.00 | |
Kaiser Permanente
| Professional | $32.00 | $47.00 | $393.93 |