| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.51 | $160.00 | $220.50 | |
Anthem BCBS
| Facility | $82.00 | $244.00 | $441.00 | |
Cigna
| Facility | $55.00 | $69.00 | $161.12 | |
Kaiser Permanente
| Facility | $74.00 | $84.00 | $90.00 |