| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.60 | $9.60 | $9.60 | |
Aetna
| Professional | $9.60 | $9.60 | $9.60 | |
Anthem BCBS
| Professional | $13.00 | $13.00 | $13.00 | |
Kaiser Permanente
| Professional | $29.00 | $29.00 | $29.00 | |
Medcost
| Facility | $14.62 | $14.62 | $14.62 | |
United
| Professional | $15.75 | $15.75 | $18.89 |