| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.56 | $426.56 | $426.56 | |
Aetna
| Professional | $343.10 | $426.56 | $495.77 | |
Anthem BCBS
| Professional | $456.68 | $708.00 | $1,205.97 | |
Kaiser Permanente
| Professional | $392.96 | $392.96 | $451.90 |