| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.42 | $52.42 | $52.42 | |
Anthem BCBS
| Professional | $999.00 | $999.00 | $999.00 | |
Cigna
| Professional | $43.50 | $43.50 | $43.50 | |
Kaiser Permanente
| Professional | $74.64 | $76.88 | $90.00 |