| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.92 | $37.92 | $37.92 | |
Aetna
| Professional | $35.33 | $37.92 | $40.61 | |
Anthem BCBS
| Professional | $41.85 | $61.00 | $85.11 | |
Kaiser Permanente
| Professional | $46.26 | $46.26 | $53.20 |