| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.15 | $67.15 | $163.55 | |
Anthem BCBS
| Professional | $7.53 | $8.86 | $8.86 | |
Cigna
| Facility | $30.72 | $30.72 | $30.72 | |
Cigna
| Professional | $26.11 | $30.72 | $869.25 | |
Kaiser Permanente
| Professional | $864.00 | $864.00 | $864.00 |