| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.00 | $24.46 | $26.90 | |
Anthem BCBS
| Professional | $17.00 | $20.00 | $20.00 | |
CareSource
| Facility | $19.04 | $19.04 | $37.45 | |
Cigna
| Facility | $120.00 | $120.00 | $120.00 | |
Cigna
| Professional | $58.98 | $76.13 | $120.00 | |
Kaiser Permanente
| Professional | $74.64 | $74.64 | $74.64 |