| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $41.69 | $41.69 | |
Aetna
| Professional | $25.12 | $48.98 | $64.57 | |
Anthem BCBS
| Professional | $26.92 | $37.15 | $50.12 | |
Kaiser Permanente
| Professional | $75.86 | $75.86 | $177.83 | |
United
| Professional | $97.72 | $112.20 | $162.18 |