| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.22 | $18.22 | $18.22 | |
Aetna
| Professional | $14.64 | $18.22 | $27.78 | |
Anthem BCBS
| Professional | $18.85 | $28.34 | $42.28 | |
Kaiser Permanente
| Professional | $18.29 | $22.86 | $51.00 |