| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.94 | $10.00 | $10.00 | |
Anthem BCBS
| Professional | $3.16 | $3.16 | $3.16 | |
Cigna
| Facility | $39.81 | $39.81 | $39.81 | |
Cigna
| Professional | $4.79 | $4.79 | $39.81 | |
Kaiser Permanente
| Professional | $21.88 | $21.88 | $21.88 |