| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $779.98 | $779.98 | $779.98 | |
Anthem BCBS
| Professional | $0.14 | $0.14 | $41.50 | |
Blue Shield
| Professional | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $103.34 | $103.34 | $103.34 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $85.00 | $100.00 | $100.00 | |
United
| Professional | $0.97 | $0.97 | $0.97 |