| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.34 | $11.34 | $11.38 | |
Aetna
| Professional | $9.75 | $11.34 | $15.07 | |
Anthem BCBS
| Professional | $13.18 | $16.00 | $24.40 | |
Kaiser Permanente
| Professional | $18.30 | $18.30 | $61.29 | |
United
| Professional | $41.00 | $41.00 | $43.00 |