| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.77 | $46.77 | $46.77 | |
Aetna
| Professional | $33.11 | $44.67 | $51.29 | |
Anthem BCBS
| Professional | $54.95 | $81.28 | $85.11 | |
Cigna
| Professional | $64.57 | $75.86 | $295.12 | |
Kaiser Permanente
| Professional | $51.29 | $61.66 | $169.82 | |
United
| Facility | $19.05 | $19.05 | $19.05 | |
United
| Professional | $39.81 | $54.95 | $114.82 |