| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.55 | $22.63 | $22.63 |
Aetna
| Professional | $170.91 | $237.05 | $381.00 | |
Anthem BCBS
| Professional | $261.07 | $334.15 | $491.40 | |
Cigna
| Professional | $133.41 | $221.11 | $431.79 | |
Kaiser Permanente
| Professional | $243.83 | $347.69 | $447.02 | |
Kaiser Permanente
| Professional | 26 | $23.27 | $33.19 | $42.67 |
United
| Professional | $155.02 | $321.83 | $528.90 |