| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.00 | $395.00 | $482.00 | |
Ambetter
| Facility | $18.77 | $24.52 | $491.49 | |
Anthem BCBS
| Facility | $90.00 | $210.25 | $411.59 | |
Cigna
| Facility | $70.00 | $90.00 | $369.00 | |
Kaiser Permanente
| Facility | $135.00 | $140.00 | $140.00 |