| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $55.00 | $110.90 | $246.66 |
Aetna
| Professional | $134.19 | $275.00 | $366.85 | |
Anthem BCBS
| Professional | $107.34 | $160.66 | $308.35 | |
Cigna
| Professional | $133.06 | $209.98 | $325.01 | |
Kaiser Permanente
| Professional | $107.52 | $123.65 | $435.18 | |
Kaiser Permanente
| Professional | 26 | $53.30 | $61.30 | $184.46 |
United
| Professional | $117.60 | $170.09 | $265.41 |