| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $181.97 | $295.12 | |
Aetna
| Professional | $34.67 | $41.69 | $52.48 | |
Anthem BCBS
| Facility | $67.61 | $151.36 | $257.04 | |
Anthem BCBS
| Professional | $5.01 | $21.88 | $38.90 | |
Cigna
| Facility | $28.18 | $33.88 | $162.18 | |
Cigna
| Professional | $22.39 | $60.26 | $75.86 | |
Kaiser Permanente
| Professional | $74.13 | $74.13 | $74.13 | |
Select Health
| Professional | $52.48 | $52.48 | $52.48 | |
United
| Facility | $23.99 | $23.99 | $23.99 | |
United
| Professional | $22.39 | $22.39 | $38.90 |