| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.28 | $131.28 | $131.28 | |
Aetna
| Professional | $116.55 | $131.28 | $144.57 | |
Anthem BCBS
| Professional | $135.15 | $165.43 | $281.12 | |
Kaiser Permanente
| Professional | $144.05 | $144.05 | $165.66 |