| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.22 | $11.66 | $11.66 | |
Aetna
| Professional | $10.85 | $12.79 | $19.26 | |
Anthem BCBS
| Professional | $13.87 | $29.08 | $40.22 | |
Kaiser Permanente
| Professional | $24.05 | $24.05 | $63.05 | |
United
| Professional | $5.00 | $43.00 | $70.00 |