| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $12.88 | $12.88 | |
Aetna
| Professional | $10.96 | $12.88 | $18.20 | |
Anthem BCBS
| Professional | $12.30 | $17.38 | $30.20 | |
Kaiser Permanente
| Professional | $15.85 | $18.20 | $58.88 |