| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $76.87 | $76.87 | $76.87 |
Aetna
| Professional | $172.28 | $263.25 | $440.62 | |
Anthem BCBS
| Professional | $256.88 | $354.51 | $572.82 | |
Cigna
| Professional | $220.11 | $319.00 | $431.17 | |
Kaiser Permanente
| Professional | $263.26 | $396.14 | $496.43 | |
Kaiser Permanente
| Professional | 26 | $76.87 | $115.67 | $144.96 |
United
| Professional | $235.34 | $339.30 | $556.67 |