| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $493.79 | $1,274.40 | $6,621.00 | |
Aetna
| Professional | $35.74 | $60.88 | $118.26 | |
Anthem BCBS
| Professional | $57.64 | $63.44 | $67.81 | |
Cigna
| Professional | $45.06 | $45.06 | $45.06 | |
Kaiser Permanente
| Professional | $239.00 | $239.00 | $321.00 |