| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $134.90 | $562.34 | |
Aetna
| Professional | $100.00 | $128.82 | $158.49 | |
Anthem BCBS
| Facility | $91.20 | $173.78 | $199.53 | |
Anthem BCBS
| Professional | $45.71 | $45.71 | $154.88 | |
Cigna
| Facility | $239.88 | $416.87 | $457.09 | |
Cigna
| Professional | $97.72 | $97.72 | $758.58 | |
Kaiser Permanente
| Professional | $177.83 | $257.04 | $691.83 | |
United
| Facility | $100.00 | $134.90 | $165.96 | |
United
| Professional | $67.61 | $89.13 | $257.04 |