| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.68 | $631.16 | $1,169.80 | |
Anthem BCBS
| Professional | $102.43 | $710.96 | $1,828.60 | |
Cigna
| Professional | $94.16 | $272.00 | $1,700.28 | |
Kaiser Permanente
| Professional | $108.62 | $329.00 | $1,617.00 | |
United
| Professional | $130.63 | $1,199.00 | $1,989.63 |