| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $55.06 | $57.81 | $57.81 |
Aetna
| Professional | $176.32 | $266.73 | $266.73 | |
Anthem BCBS
| Professional | $265.32 | $361.99 | $584.91 | |
Cigna
| Professional | $235.17 | $367.47 | $477.75 | |
Kaiser Permanente
| Professional | $266.72 | $401.35 | $502.96 | |
Kaiser Permanente
| Professional | 26 | $57.81 | $86.99 | $109.02 |
United
| Professional | $286.27 | $391.51 | $689.72 |