| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $52.48 | $52.48 | |
Aetna
| Professional | $39.81 | $52.48 | $61.66 | |
Anthem BCBS
| Professional | $51.29 | $66.07 | $70.79 | |
Cigna
| Professional | $89.13 | $151.36 | $275.42 | |
Kaiser Permanente
| Professional | $61.66 | $70.79 | $208.93 | |
United
| Facility | $70.79 | $70.79 | $70.79 | |
United
| Professional | $52.48 | $74.13 | $131.83 |