| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $57.54 | $100.00 | |
Aetna
| Professional | $30.20 | $33.88 | $38.90 | |
Anthem BCBS
| Professional | $21.38 | $21.38 | $22.91 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
Kaiser Permanente
| Professional | $602.56 | $602.56 | $602.56 |