| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.41 | $40.08 | $136.13 | |
Anthem BCBS
| Facility | $2,145.67 | $2,145.67 | $2,145.67 | |
Cigna
| Facility | $12.86 | $12.86 | $428.69 | |
Kaiser Permanente
| Professional | $11.83 | $16.13 | $168.84 |