| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $10.96 | |
Aetna
| Professional | $7.94 | $10.96 | $15.14 | |
Anthem BCBS
| Professional | $13.18 | $14.45 | $19.95 | |
Kaiser Permanente
| Professional | $18.20 | $18.20 | $47.86 | |
United
| Professional | $13.49 | $32.36 | $57.54 |