| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $87.10 | $87.10 | |
Aetna
| Professional | $77.62 | $87.10 | $89.13 | |
Ambetter
| Professional | $57.54 | $61.66 | $69.18 | |
Anthem BCBS
| Professional | $69.18 | $81.28 | $81.28 | |
Cigna
| Professional | $79.43 | $79.43 | $100.00 | |
Kaiser Permanente
| Professional | $44.67 | $44.67 | $51.29 |