| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.00 | $22.00 | $22.00 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Kaiser Permanente
| Professional | $13.00 | $14.00 | $14.00 | |
Medcost
| Facility | $1.51 | $1.51 | $2.15 | |
Medcost
| Professional | $2.31 | $2.31 | $2.31 | |
United
| Professional | $0.42 | $0.68 | $0.72 |