| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
Anthem BCBS
| Professional | $5.31 | $5.82 | $5.82 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Kaiser Permanente
| Professional | $98.34 | $98.34 | $100.00 |