| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.82 | $229.25 | $374.02 | |
Anthem BCBS
| Professional | $164.71 | $312.68 | $534.20 | |
Anthem BCBS
| Professional | 50 | $166.99 | $337.29 | $540.48 |
Cigna
| Professional | $167.01 | $277.18 | $471.14 | |
Kaiser Permanente
| Professional | $174.13 | $292.42 | $504.20 | |
United
| Professional | $294.39 | $407.40 | $672.18 |