| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.94 | $22.91 | $22.91 | |
Anthem BCBS
| Professional | $19.05 | $21.88 | $21.88 | |
Cigna
| Facility | $120.23 | $120.23 | $138.04 | |
Cigna
| Professional | $70.79 | $75.86 | $120.23 | |
Kaiser Permanente
| Professional | $74.13 | $74.13 | $74.13 |