| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $775.00 | $775.00 | $775.00 | |
Anthem BCBS
| Professional | $303.27 | $8,578.86 | $8,578.86 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $25.05 | $25.05 | $25.05 | |
Kaiser Permanente
| Professional | $98.34 | $98.34 | $100.00 |