| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.48 | $123.03 | $194.98 | |
Aetna
| Professional | $20.89 | $28.18 | $33.88 | |
Anthem BCBS
| Facility | $43.65 | $102.33 | $169.82 | |
Anthem BCBS
| Professional | $24.55 | $35.48 | $35.48 | |
Cigna
| Facility | $18.62 | $22.91 | $107.15 | |
Cigna
| Professional | $42.66 | $42.66 | $51.29 | |
Kaiser Permanente
| Professional | $48.98 | $48.98 | $50.12 | |
Select Health
| Professional | $24.55 | $35.48 | $35.48 | |
United
| Professional | $14.79 | $14.79 | $20.89 |