| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $218.78 | $346.74 | |
Aetna
| Professional | $40.74 | $48.98 | $61.66 | |
Anthem BCBS
| Facility | $79.43 | $177.83 | $302.00 | |
Anthem BCBS
| Professional | $26.30 | $26.30 | $47.86 | |
Cigna
| Facility | $33.11 | $40.74 | $190.55 | |
Cigna
| Professional | $26.30 | $70.79 | $89.13 | |
Kaiser Permanente
| Professional | $89.13 | $89.13 | $89.13 | |
Select Health
| Professional | $61.66 | $61.66 | $61.66 | |
United
| Facility | $28.18 | $28.18 | $28.18 | |
United
| Professional | $26.30 | $26.30 | $45.71 |