| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.01 | $47.01 | $47.01 | |
Aetna
| Professional | $33.54 | $45.12 | $50.06 | |
Anthem BCBS
| Professional | $51.01 | $78.58 | $85.02 | |
Cigna
| Professional | $64.00 | $76.68 | $297.85 | |
Kaiser Permanente
| Professional | $50.99 | $65.16 | $169.98 | |
United
| Professional | $41.43 | $56.69 | $117.73 |