| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.38 | $227.76 | $472.59 | |
Anthem BCBS
| Professional | $141.32 | $200.80 | $362.88 | |
Cigna
| Professional | $160.38 | $303.32 | $540.79 | |
Kaiser Permanente
| Professional | $141.32 | $238.83 | $311.63 | |
United
| Professional | $227.92 | $316.51 | $495.96 |