| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.02 | $3.02 | $3.02 | |
Aetna
| Professional | $3.02 | $3.02 | $3.98 | |
Anthem BCBS
| Professional | $3.02 | $3.02 | $3.02 | |
Cigna
| Professional | $23.99 | $23.99 | $23.99 | |
Kaiser Permanente
| Professional | $41.69 | $41.69 | $41.69 |