| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.99 | $53.48 | $53.48 | |
Aetna
| Professional | $46.20 | $53.47 | $66.87 | |
Anthem BCBS
| Professional | $58.97 | $79.00 | $114.42 | |
Kaiser Permanente
| Professional | $60.26 | $60.26 | $234.61 | |
United
| Professional | $35.00 | $104.00 | $151.00 |