| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $237.94 | $237.94 | $237.94 | |
Aetna
| Professional | $227.95 | $237.94 | $265.27 | |
Anthem BCBS
| Professional | $244.54 | $406.00 | $551.85 | |
Kaiser Permanente
| Professional | $303.81 | $303.81 | $349.38 |