| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.94 | $7.94 | $7.94 | |
Anthem BCBS
| Professional | $616.60 | $724.44 | $724.44 | |
Cigna
| Professional | $20.89 | $20.89 | $20.89 | |
Kaiser Permanente
| Professional | $100.00 | $100.00 | $100.00 |