| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $102.33 | $102.33 | $102.33 |
Aetna
| Professional | $288.40 | $371.54 | $707.95 | |
Anthem BCBS
| Professional | $338.84 | $446.68 | $794.33 | |
Cigna
| Facility | 26 | $199.53 | $199.53 | $199.53 |
Cigna
| Professional | $316.23 | $478.63 | $912.01 | |
Kaiser Permanente
| Professional | $501.19 | $549.54 | $741.31 | |
Kaiser Permanente
| Professional | 26 | $141.25 | $141.25 | $154.88 |
Select Health
| Professional | $338.84 | $346.74 | $524.81 | |
United
| Professional | $398.11 | $724.44 | $1,258.93 |