| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.68 | $247.40 | $312.45 | |
Anthem BCBS
| Professional | $303.83 | $357.47 | $357.47 | |
CareSource
| Facility | $401.63 | $401.63 | $401.63 | |
Cigna
| Facility | $170.83 | $170.83 | $170.83 | |
Cigna
| Professional | $145.21 | $170.83 | $170.83 | |
Kaiser Permanente
| Professional | $784.00 | $784.00 | $784.00 |