| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.61 | $5,063.00 | $7,631.00 | |
Aetna
| Professional | $230.51 | $240.61 | $731.50 | |
Anthem BCBS
| Professional | $230.99 | $328.00 | $505.46 | |
Kaiser Permanente
| Professional | $328.05 | $328.05 | $391.00 |