| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.67 | $43.67 | $43.67 | |
Aetna
| Professional | $40.08 | $43.67 | $48.10 | |
Anthem BCBS
| Professional | $46.26 | $67.00 | $96.13 | |
Kaiser Permanente
| Professional | $49.57 | $49.57 | $57.01 |