| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $39.81 | |
Aetna
| Professional | $39.81 | $79.43 | $95.50 | |
Anthem BCBS
| Professional | $5.01 | $5.01 | $15.49 | |
Cigna
| Professional | $46.77 | $46.77 | $57.54 | |
Kaiser Permanente
| Professional | $47.86 | $47.86 | $47.86 | |
Select Health
| Professional | $33.88 | $33.88 | $77.62 |