| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.59 | $60.59 | $60.59 | |
Aetna
| Professional | $58.05 | $60.59 | $71.61 | |
Anthem BCBS
| Professional | $58.21 | $71.00 | $138.72 | |
Kaiser Permanente
| Professional | $82.02 | $82.02 | $94.32 |