| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $42.66 | $42.66 | |
Aetna
| Professional | $37.15 | $42.66 | $61.66 | |
Anthem BCBS
| Professional | $38.02 | $60.26 | $89.13 | |
Kaiser Permanente
| Professional | $50.12 | $50.12 | $57.54 |