| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $30.90 | $30.90 | |
Aetna
| Professional | $15.14 | $28.84 | $33.88 | |
Anthem BCBS
| Professional | $25.70 | $32.36 | $36.31 | |
Cigna
| Professional | $21.38 | $29.51 | $165.96 | |
Kaiser Permanente
| Professional | $38.90 | $44.67 | $50.12 | |
United
| Professional | $28.18 | $42.66 | $81.28 |