| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $100.00 | $100.00 | $100.00 | |
Anthem BCBS
| Professional | $90.25 | $95.00 | $95.00 | |
Cigna
| Facility | $102.76 | $102.76 | $152.56 | |
Cigna
| Professional | $111.37 | $111.37 | $111.37 | |
Kaiser Permanente
| Professional | $98.34 | $98.34 | $100.00 |