| 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
| Professional | $76.68 | $475.00 | $2,979.39 | |
Cigna
| Facility | $88.05 | $450.00 | $541.00 | |
Cigna
| Professional | $370.00 | $370.00 | $370.00 | |
Kaiser Permanente
| Professional | $329.00 | $329.00 | $329.00 |