| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.00 | $3.00 | $3.00 | |
Aetna
| Professional | $3.00 | $3.00 | $3.00 | |
Anthem BCBS
| Professional | $23.00 | $23.00 | $23.00 | |
Cigna
| Facility | $10.00 | $10.00 | $64.00 | |
Cigna
| Professional | $8.50 | $8.50 | $8.50 | |
Kaiser Permanente
| Professional | $98.34 | $98.34 | $100.00 |