| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.72 | $197.35 | $390.36 | |
Aetna
| Professional | $180.72 | $180.72 | $180.72 | |
Anthem BCBS
| Professional | $180.30 | $180.30 | $180.30 | |
Kaiser Permanente
| Professional | $82.00 | $82.00 | $82.00 | |
Medcost
| Facility | $212.61 | $212.61 | $275.24 | |
United
| Professional | $174.89 | $180.30 | $212.61 |