| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $236.14 | $236.14 | $236.14 | |
Aetna
| Professional | $226.24 | $236.14 | $261.23 | |
Anthem BCBS
| Professional | $237.58 | $377.00 | $562.58 | |
Kaiser Permanente
| Professional | $299.16 | $299.16 | $344.03 |