| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.34 | $67.34 | $67.34 | |
Aetna
| Professional | $54.42 | $64.63 | $67.70 | |
Anthem BCBS
| Professional | $69.58 | $70.27 | $139.86 | |
Cigna
| Professional | $112.52 | $362.03 | $362.03 | |
Kaiser Permanente
| Professional | $76.75 | $88.26 | $326.24 | |
United
| Professional | $65.52 | $99.87 | $147.51 |