| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $12.68 | $76.30 | |
Anthem BCBS
| Professional | $0.02 | $1.00 | $12.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $8.50 | $8.50 | $8.50 | |
Kaiser Permanente
| Professional | $98.34 | $98.34 | $100.00 |