| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.55 | $55.55 | $55.55 | |
Aetna
| Professional | $40.26 | $55.02 | $63.50 | |
Anthem BCBS
| Professional | $60.95 | $60.95 | $3,804.27 | |
Cigna
| Professional | $84.67 | $84.67 | $101.44 | |
Kaiser Permanente
| Professional | $61.00 | $74.56 | $98.34 | |
United
| Facility | $63.39 | $63.39 | $63.39 | |
United
| Professional | $57.46 | $78.62 | $145.88 |