| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $95.94 | $100.74 | $100.74 |
Aetna
| Professional | $227.46 | $299.35 | $550.72 | |
Anthem BCBS
| Professional | $337.54 | $465.82 | $752.67 | |
Cigna
| Professional | $289.02 | $419.00 | $565.37 | |
Kaiser Permanente
| Professional | $346.41 | $521.26 | $653.22 | |
Kaiser Permanente
| Professional | 26 | $100.74 | $151.59 | $189.96 |
United
| Professional | $307.91 | $467.13 | $729.90 |