| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $44.67 | $44.67 | |
Aetna
| Professional | $7.94 | $12.88 | $45.71 | |
Anthem BCBS
| Facility | $5.01 | $5.01 | $5.01 | |
Anthem BCBS
| Professional | $0.79 | $39.81 | $39.81 | |
Kaiser Permanente
| Professional | $39.81 | $39.81 | $39.81 |