| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.14 | $20.14 | $51.43 | |
Aetna
| Professional | $19.41 | $20.14 | $20.14 | |
Anthem BCBS
| Facility | $19.64 | $21.32 | $21.32 | |
Anthem BCBS
| Professional | $19.64 | $23.05 | $27.88 | |
Kaiser Permanente
| Professional | $20.62 | $66.00 | $102.00 | |
United
| Professional | $19.64 | $19.64 | $19.64 |