| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $616.60 | $912.01 | $1,047.13 | |
Anthem BCBS
| Professional | $691.83 | $954.99 | $1,047.13 | |
Cigna
| Professional | $1,071.52 | $1,071.52 | $4,897.79 | |
Kaiser Permanente
| Professional | $72.44 | $91.20 | $144.54 | |
United
| Professional | $645.65 | $977.24 | $1,380.38 |