| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.83 | $27.83 | $27.83 | |
Aetna
| Professional | $24.52 | $27.80 | $33.02 | |
Anthem BCBS
| Professional | $30.91 | $43.00 | $64.98 | |
Kaiser Permanente
| Professional | $31.63 | $41.12 | $150.52 |