| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.47 | $176.47 | $176.47 | |
Aetna
| Professional | $170.09 | $176.47 | $176.47 | |
Anthem BCBS
| Professional | $180.29 | $180.29 | $183.89 | |
Kaiser Permanente
| Professional | $132.00 | $132.00 | $205.00 | |
United
| Professional | $180.30 | $180.30 | $224.20 |