| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.00 | $23.68 | $23.68 | |
Anthem BCBS
| Professional | $18.70 | $22.00 | $22.00 | |
CareSource
| Facility | $19.17 | $19.17 | $37.72 | |
Cigna
| Facility | $120.00 | $120.00 | $120.00 | |
Cigna
| Professional | $70.50 | $75.72 | $88.13 | |
Kaiser Permanente
| Professional | $74.64 | $74.64 | $74.64 |