| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.13 | $23.17 | $23.17 | |
Anthem BCBS
| Professional | $18.70 | $22.00 | $22.00 | |
Cigna
| Facility | $99.00 | $99.00 | $99.00 | |
Cigna
| Professional | $16.39 | $70.50 | $99.00 | |
Kaiser Permanente
| Professional | $100.00 | $100.00 | $100.00 |