| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.69 | $104.69 | $104.69 | |
Aetna
| Professional | $102.23 | $104.69 | $104.69 | |
Anthem BCBS
| Professional | $32.28 | $37.97 | $51.77 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $62.16 | $62.16 | $62.16 | |
Kaiser Permanente
| Professional | $98.34 | $100.00 | $160.18 |