| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $365.24 | $908.06 | $3,496.50 | |
Aetna
| Professional | $207.74 | $317.60 | $317.60 | |
Anthem BCBS
| Professional | $57.00 | $60.00 | $63.00 | |
Cigna
| Professional | $116.76 | $116.76 | $116.76 | |
Kaiser Permanente
| Professional | $854.16 | $879.79 | $879.79 |