| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.45 | $19.45 | $19.45 | |
Aetna
| Professional | $17.80 | $19.45 | $22.47 | |
Anthem BCBS
| Professional | $18.00 | $25.00 | $40.19 | |
Kaiser Permanente
| Professional | $26.23 | $34.10 | $105.14 |