| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $69.18 | $69.18 | |
Aetna
| Professional | $69.18 | $85.11 | $93.33 | |
Anthem BCBS
| Professional | $5.01 | $5.01 | $5.01 | |
Cigna
| Professional | $79.43 | $79.43 | $100.00 | |
Kaiser Permanente
| Professional | $91.20 | $91.20 | $91.20 | |
Select Health
| Professional | $63.10 | $63.10 | $81.28 |