| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $498.43 | $498.43 | $498.43 | |
Aetna
| Professional | $401.94 | $498.23 | $548.88 | |
Anthem BCBS
| Professional | $600.94 | $1,004.79 | $1,331.21 | |
Kaiser Permanente
| Professional | $460.36 | $460.36 | $529.41 |