| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $97.57 | $102.45 | $102.45 |
Aetna
| Professional | $311.25 | $402.08 | $572.90 | |
Anthem BCBS
| Professional | $330.19 | $466.71 | $1,166.77 | |
Cigna
| Facility | 26 | $199.21 | $199.21 | $199.21 |
Cigna
| Professional | $323.04 | $519.85 | $880.48 | |
Kaiser Permanente
| Professional | $447.14 | $567.52 | $808.28 | |
Kaiser Permanente
| Professional | 26 | $126.84 | $158.06 | $366.90 |
United
| Professional | $473.13 | $731.38 | $1,274.33 |