| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.40 | $532.00 | $2,579.14 | |
Aetna
| Professional | $116.00 | $120.35 | $123.25 | |
Anthem BCBS
| Professional | $42.75 | $45.00 | $45.00 | |
Cigna
| Facility | $123.25 | $123.25 | $123.25 | |
Cigna
| Professional | $80.54 | $80.54 | $123.25 | |
Kaiser Permanente
| Professional | $98.34 | $123.25 | $188.57 |