| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,365.16 | $5,888.44 | $9,549.93 | |
Aetna
| Professional | $229.09 | $263.03 | $457.09 | |
Anthem BCBS
| Professional | $194.98 | $288.40 | $416.87 | |
Kaiser Permanente
| Professional | $331.13 | $331.13 | $389.05 |