| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.97 | $165.96 | $328.28 | |
Aetna
| Professional | $151.97 | $151.97 | $151.97 | |
Anthem BCBS
| Professional | $82.70 | $83.74 | $83.74 | |
Cigna
| Facility | $151.97 | $151.97 | $151.97 | |
Cigna
| Professional | $151.97 | $151.97 | $151.97 | |
Kaiser Permanente
| Professional | $220.00 | $220.00 | $220.00 | |
Medcost
| Facility | $178.80 | $178.80 | $231.47 |