| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.99 | $154.99 | $154.99 | |
Aetna
| Professional | $136.72 | $154.99 | $166.03 | |
Anthem BCBS
| Professional | $182.78 | $308.00 | $404.15 | |
Kaiser Permanente
| Professional | $161.05 | $161.05 | $185.21 |