| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.26 | $60.26 | $60.26 | |
Aetna
| Professional | $52.48 | $66.07 | $83.18 | |
Anthem BCBS
| Professional | $37.15 | $69.18 | $104.71 | |
Kaiser Permanente
| Professional | $81.28 | $81.28 | $93.33 |