| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.96 | $155.96 | $297.88 | |
Aetna
| Professional | $31.92 | $147.01 | $164.55 | |
Anthem BCBS
| Facility | $50.93 | $351.87 | $506.65 | |
Anthem BCBS
| Professional | $126.71 | $161.12 | $226.07 | |
Cigna
| Facility | $121.66 | $185.05 | $277.33 | |
Kaiser Permanente
| Professional | $36.99 | $42.54 | $755.44 | |
United
| Professional | $71.45 | $200.28 | $303.87 |