| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.01 | $57.01 | $57.01 | |
Aetna
| Professional | $43.51 | $54.70 | $63.76 | |
Anthem BCBS
| Professional | $57.18 | $88.15 | $94.24 | |
Cigna
| Professional | $93.02 | $111.44 | $264.38 | |
Kaiser Permanente
| Professional | $66.51 | $84.99 | $221.70 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 | |
United
| Professional | $45.53 | $62.23 | $152.77 |