| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $2.00 | $2.00 | |
Aetna
| Professional | $2.00 | $2.00 | $6.03 | |
Anthem BCBS
| Professional | $2.88 | $2.88 | $2.88 | |
Cigna
| Professional | $1.02 | $1.02 | $1.02 | |
Kaiser Permanente
| Professional | $15.85 | $15.85 | $15.85 | |
Select Health
| Professional | $4.27 | $4.27 | $5.89 |