| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.01 | $20.89 | $20.89 | |
Anthem BCBS
| Professional | $21.88 | $39.81 | $63.10 | |
Cigna
| Professional | $229.09 | $229.09 | $229.09 | |
Kaiser Permanente
| Professional | $218.78 | $218.78 | $218.78 |