| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.36 | $346.36 | $346.36 | |
Aetna
| Professional | $321.69 | $346.36 | $381.39 | |
Anthem BCBS
| Professional | $353.05 | $458.00 | $797.75 | |
Kaiser Permanente
| Professional | $397.93 | $397.93 | $457.62 |