| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.00 | $25.87 | $136.00 | |
Anthem BCBS
| Professional | $18.70 | $22.00 | $22.00 | |
CareSource
| Facility | $21.44 | $21.44 | $42.17 | |
Cigna
| Facility | $120.00 | $120.00 | $120.00 | |
Cigna
| Professional | $18.77 | $70.13 | $120.00 | |
Kaiser Permanente
| Professional | $95.97 | $95.97 | $95.97 |