| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.83 | $42.83 | $42.83 | |
Aetna
| Professional | $38.11 | $42.83 | $49.70 | |
Anthem BCBS
| Professional | $38.07 | $57.29 | $87.74 | |
Kaiser Permanente
| Professional | $60.78 | $60.78 | $72.94 |