| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $252.78 | $252.78 | $252.78 | |
Aetna
| Professional | $242.17 | $252.78 | $300.44 | |
Anthem BCBS
| Professional | $253.05 | $418.95 | $618.09 | |
Kaiser Permanente
| Professional | $344.12 | $344.12 | $395.74 |