| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.09 | $147.62 | $362.74 | |
Aetna
| Professional | $60.65 | $89.26 | $105.28 | |
Anthem BCBS
| Facility | $75.98 | $114.43 | $348.62 | |
Anthem BCBS
| Professional | $34.32 | $45.77 | $161.34 | |
CareSource
| Facility | $78.73 | $114.43 | $183.09 | |
Cigna
| Facility | $148.76 | $251.75 | $317.87 | |
Cigna
| Professional | $131.75 | $139.59 | $174.49 | |
Kaiser Permanente
| Professional | $125.87 | $131.59 | $148.76 | |
United
| Professional | $48.06 | $68.66 | $114.43 |