| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.03 | $0.03 | $4.20 | |
Aetna
| Professional | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $5.29 | $5.57 | $5.57 | |
Cigna
| Facility | $7.00 | $7.00 | $23.56 | |
Cigna
| Professional | $20.03 | $20.03 | $20.03 | |
Kaiser Permanente
| Professional | $13.87 | $13.87 | $14.28 |