| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.00 | $22.51 | $22.51 | |
Anthem BCBS
| Professional | $4.03 | $4.75 | $4.75 | |
CareSource
| Facility | $18.62 | $18.62 | $36.64 | |
Cigna
| Facility | $77.00 | $77.00 | $77.00 | |
Cigna
| Professional | $20.89 | $77.00 | $192.19 | |
Kaiser Permanente
| Professional | $78.00 | $78.00 | $78.00 |