| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.00 | $153.00 | $153.00 | |
Aetna
| Professional | $153.00 | $153.00 | $153.00 | |
Anthem BCBS
| Facility | $606.00 | $804.00 | $1,736.00 | |
Anthem BCBS
| Professional | $294.16 | $423.88 | $926.59 | |
Cigna
| Facility | $747.00 | $750.00 | $950.50 | |
Cigna
| Professional | $607.00 | $615.00 | $615.00 | |
Kaiser Permanente
| Professional | $329.00 | $329.00 | $329.00 |