| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.20 | $3.20 | $3.20 | |
Aetna
| Professional | $3.20 | $3.20 | $4.00 | |
Anthem BCBS
| Professional | $2.85 | $3.00 | $3.00 | |
Cigna
| Professional | $23.59 | $23.59 | $23.59 | |
Kaiser Permanente
| Professional | $46.00 | $46.00 | $46.00 |