| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.52 | $28.52 | $28.52 | |
Aetna
| Professional | $27.32 | $28.52 | $31.75 | |
Anthem BCBS
| Professional | $28.19 | $37.00 | $63.50 | |
Kaiser Permanente
| Professional | $36.38 | $36.38 | $41.84 |