| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.03 | $6.03 | $6.03 | |
Anthem BCBS
| Professional | $15.14 | $15.14 | $16.98 | |
Cigna
| Professional | $15.85 | $15.85 | $15.85 | |
Kaiser Permanente
| Professional | $89.13 | $89.13 | $89.13 |