| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.34 | $154.34 | $154.34 | |
Anthem BCBS
| Professional | $53.00 | $53.00 | $53.00 | |
Cigna
| Facility | $96.00 | $96.00 | $96.00 | |
Cigna
| Professional | $81.59 | $81.59 | $81.59 | |
Kaiser Permanente
| Professional | $148.63 | $148.63 | $165.15 |