| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.82 | $5,063.00 | $6,915.00 | |
Anthem BCBS
| Facility | $7.04 | $18.94 | $24.35 | |
Cigna
| Facility | $15.32 | $15.32 | $15.32 | |
Kaiser Permanente
| Professional | $12.81 | $22.41 | $101.00 |