| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $616.60 | $977.24 | |
Aetna
| Professional | $104.71 | $141.25 | $169.82 | |
Anthem BCBS
| Facility | $218.78 | $501.19 | $851.14 | |
Anthem BCBS
| Professional | $74.13 | $74.13 | $173.78 | |
Cigna
| Facility | $93.33 | $114.82 | $537.03 | |
Cigna
| Professional | $213.80 | $213.80 | $257.04 | |
Kaiser Permanente
| Professional | $245.47 | $245.47 | $245.47 | |
Select Health
| Professional | $123.03 | $173.78 | $173.78 | |
United
| Professional | $74.13 | $74.13 | $104.71 |