| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $1.00 | |
Aetna
| Professional | $1.00 | $1.00 | $1.32 | |
Anthem BCBS
| Professional | $8.13 | $8.13 | $8.13 | |
Kaiser Permanente
| Professional | $15.85 | $15.85 | $100.00 | |
United
| Professional | $3.31 | $34.67 | $60.26 |