| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $37.15 | $37.15 | |
Aetna
| Professional | $31.04 | $37.15 | $37.15 | |
Anthem BCBS
| Professional | $17.14 | $18.05 | $18.05 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $19.36 | $19.36 | $19.36 | |
Kaiser Permanente
| Professional | $61.00 | $65.00 | $65.00 |