| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.00 | $23.69 | $51.15 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $22.50 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $8.96 | $8.96 | $8.96 | |
Kaiser Permanente
| Professional | $98.34 | $98.34 | $100.00 |