| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $270.60 | $270.60 | $270.60 | |
Aetna
| Professional | $240.16 | $270.60 | $297.99 | |
Anthem BCBS
| Professional | $300.04 | $439.00 | $610.92 | |
Kaiser Permanente
| Professional | $294.19 | $294.19 | $338.32 |