| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $33.88 | |
Aetna
| Professional | $32.36 | $33.88 | $34.67 | |
Anthem BCBS
| Professional | $18.20 | $21.38 | $21.38 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
Kaiser Permanente
| Professional | $524.81 | $524.81 | $537.03 |