| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.33 | $87.33 | $87.33 | |
Aetna
| Professional | $48.03 | $71.72 | $87.33 | |
Anthem BCBS
| Professional | $39.32 | $58.76 | $79.70 | |
Cigna
| Professional | $96.75 | $323.55 | $323.55 | |
Kaiser Permanente
| Professional | $53.10 | $61.07 | $415.90 | |
United
| Professional | $46.90 | $70.56 | $116.39 |