| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.03 | $0.03 | $0.03 | |
Aetna
| Professional | $0.03 | $0.03 | $0.05 | |
Anthem BCBS
| Professional | $24.22 | $25.50 | $25.50 | |
Cigna
| Professional | $0.50 | $0.50 | $0.50 | |
Kaiser Permanente
| Professional | $15.00 | $15.00 | $15.00 |