| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.10 | $118.50 | $3,529.55 | |
Aetna
| Professional | $36.11 | $36.11 | $72.34 | |
Anthem BCBS
| Professional | $28.50 | $30.00 | $30.00 | |
Cigna
| Professional | $21.70 | $21.70 | $21.70 | |
Kaiser Permanente
| Professional | $149.29 | $153.77 | $153.77 |