| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.02 | $31.02 | $31.02 | |
Aetna
| Professional | $15.60 | $29.75 | $33.39 | |
Ambetter
| Professional | $59.00 | $59.00 | $59.00 | |
Anthem BCBS
| Professional | $26.22 | $32.04 | $48.24 | |
Cigna
| Professional | $21.47 | $29.53 | $166.72 | |
Kaiser Permanente
| Professional | $35.85 | $41.23 | $150.24 | |
United
| Professional | $26.85 | $46.67 | $86.72 |