| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.40 | $40.40 | $40.40 | |
Aetna
| Professional | $26.80 | $38.10 | $42.85 | |
Anthem BCBS
| Facility | $50.90 | $86.33 | $101.95 | |
Anthem BCBS
| Professional | $41.29 | $46.26 | $99.65 | |
Cigna
| Facility | $48.09 | $48.09 | $48.09 | |
Cigna
| Professional | $201.14 | $201.14 | $201.14 | |
Kaiser Permanente
| Professional | $46.35 | $60.26 | $106.61 | |
United
| Professional | $41.76 | $55.56 | $96.43 |