| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.66 | $24.66 | $24.66 | |
Aetna
| Professional | $17.54 | $24.22 | $28.97 | |
Ambetter
| Professional | $40.22 | $40.22 | $84.70 | |
Anthem BCBS
| Professional | $25.50 | $42.57 | $48.15 | |
Cigna
| Professional | $53.69 | $70.65 | $128.71 | |
Kaiser Permanente
| Professional | $23.23 | $29.68 | $98.91 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 | |
United
| Professional | $23.17 | $31.23 | $59.31 |