| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,144.00 | $3,133.00 | $8,652.00 | |
Aetna
| Professional | $1,165.00 | $3,000.00 | $5,860.00 | |
Anthem BCBS
| Facility | $565.00 | $750.00 | $774.06 | |
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 |