| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.38 | $62.38 | $172.79 | |
Aetna
| Professional | $47.32 | $59.15 | $69.97 | |
Anthem BCBS
| Facility | $71.90 | $141.05 | $141.57 | |
Anthem BCBS
| Professional | $63.17 | $63.28 | $140.46 | |
Cigna
| Facility | $71.95 | $71.95 | $71.95 | |
Cigna
| Professional | $300.91 | $300.91 | $300.91 | |
Kaiser Permanente
| Professional | $69.34 | $90.14 | $131.75 | |
United
| Professional | $63.23 | $87.45 | $147.44 |