| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.12 | $0.12 | $0.12 | |
Aetna
| Professional | $0.12 | $0.12 | $0.19 | |
Anthem BCBS
| Professional | $24.22 | $25.50 | $25.50 | |
Cigna
| Professional | $13.20 | $13.20 | $13.20 | |
Kaiser Permanente
| Professional | $15.00 | $15.00 | $15.00 |