| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.01 | $120.13 | $237.62 | |
Aetna
| Professional | $110.01 | $110.01 | $110.01 | |
Anthem BCBS
| Professional | $111.85 | $111.85 | $111.85 | |
Kaiser Permanente
| Professional | $140.66 | $143.19 | $146.52 | |
Medcost
| Facility | $134.81 | $134.81 | $167.55 | |
United
| Professional | $127.33 | $129.41 | $129.41 |