| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.34 | $63.34 | $63.34 | |
Aetna
| Professional | $48.31 | $60.78 | $69.39 | |
Ambetter
| Professional | $294.00 | $294.00 | $294.00 | |
Anthem BCBS
| Professional | $69.06 | $109.35 | $115.43 | |
Kaiser Permanente
| Professional | $84.63 | $110.02 | $160.80 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 | |
United
| Professional | $59.10 | $82.74 | $159.55 |