| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,448.30 | $1,448.30 | $2,010.49 | |
Ambetter
| Professional | $560.00 | $560.00 | $560.00 | |
Anthem BCBS
| Professional | $79.69 | $182.62 | $292.89 | |
Cigna
| Professional | $198.37 | $198.37 | $198.37 | |
Kaiser Permanente
| Professional | $90.00 | $90.00 | $90.00 |