| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $404.13 | $404.13 | $448.97 | |
Anthem BCBS
| Professional | $332.50 | $350.00 | $595.00 | |
Cigna
| Professional | $104.51 | $104.51 | $104.51 | |
Kaiser Permanente
| Professional | $90.00 | $1,539.00 | $1,539.00 |