| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.50 | $56.25 | $232.26 | |
Anthem BCBS
| Professional | $23.25 | $225.00 | $250.00 | |
Blue Shield
| Professional | $100.00 | $100.00 | $100.00 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $100.00 | $100.00 | $1,245.88 |