| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
Anthem BCBS
| Professional | $27.92 | $33.15 | $33.15 | |
Cigna
| Professional | $53.24 | $53.24 | $66.55 | |
Kaiser Permanente
| Professional | $83.00 | $83.00 | $83.00 |