| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.71 | $173.99 | $221.48 | |
Anthem BCBS
| Professional | $150.47 | $241.61 | $397.11 | |
Cigna
| Professional | $130.97 | $202.41 | $335.25 | |
Kaiser Permanente
| Professional | $155.87 | $237.40 | $387.80 | |
United
| Professional | $170.00 | $259.99 | $437.42 |