| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Anthem BCBS
| Professional | $0.63 | $0.67 | $0.91 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $3.24 | $3.24 | $3.24 | |
Kaiser Permanente
| Professional | $21.00 | $21.00 | $21.00 | |
Oscar Health
| Professional | $10.11 | $10.11 | $10.11 |