| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.62 | $588.62 | $588.62 | |
Aetna
| Professional | $588.62 | $588.62 | $588.62 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $781.33 | $781.33 | $781.33 | |
Kaiser Permanente
| Professional | $2,396.00 | $2,526.00 | $2,526.00 |