| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.51 | $53.70 | $104.71 |
Aetna
| Professional | $141.25 | $204.17 | $446.68 | |
Anthem BCBS
| Professional | $123.03 | $199.53 | $380.19 | |
Cigna
| Professional | $177.83 | $309.03 | $562.34 | |
Kaiser Permanente
| Professional | $229.09 | $269.15 | $281.84 | |
Kaiser Permanente
| Professional | 26 | $22.91 | $27.54 | $38.02 |
United
| Professional | $134.90 | $239.88 | $446.68 |