| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.14 | $45.14 | $952.78 | |
Aetna
| Professional | $43.26 | $45.14 | $57.61 | |
Anthem BCBS
| Professional | $41.53 | $61.00 | $101.75 | |
Kaiser Permanente
| Professional | $65.95 | $65.95 | $75.84 |