| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.00 | $118.00 | $118.00 | |
Anthem BCBS
| Facility | $370.00 | $509.00 | $857.00 | |
Cigna
| Facility | $200.00 | $200.00 | $221.00 | |
Kaiser Permanente
| Facility | $154.00 | $154.00 | $154.00 |