| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.54 | $27.54 | $27.54 | |
Anthem BCBS
| Professional | $181.97 | $181.97 | $181.97 | |
Blue Shield
| Professional | $39.81 | $39.81 | $39.81 | |
Kaiser Permanente
| Professional | $32.36 | $54.95 | $398.11 |