| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.80 | $46.08 | $99.54 |
Aetna
| Professional | $170.91 | $203.75 | $506.33 | |
Anthem BCBS
| Professional | $149.63 | $240.74 | $486.37 | |
Cigna
| Professional | $156.16 | $307.83 | $561.16 | |
Kaiser Permanente
| Professional | $215.04 | $236.54 | $283.00 | |
Kaiser Permanente
| Professional | 26 | $21.46 | $23.61 | $37.90 |
United
| Professional | $153.94 | $239.35 | $417.42 |