| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.34 | $135.34 | $135.34 | |
Aetna
| Professional | $87.77 | $129.88 | $135.34 | |
Anthem BCBS
| Professional | $62.27 | $211.45 | $264.31 | |
Cigna
| Professional | $994.33 | $994.33 | $994.33 | |
Kaiser Permanente
| Professional | $68.86 | $96.40 | $896.06 | |
United
| Professional | $55.62 | $136.75 | $351.15 |