| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $73.20 | $76.87 | $76.87 |
Aetna
| Professional | $256.92 | $392.13 | $618.53 | |
Anthem BCBS
| Professional | $388.04 | $529.42 | $855.45 | |
Cigna
| Professional | $347.93 | $546.10 | $716.66 | |
Kaiser Permanente
| Professional | $392.13 | $590.07 | $739.45 | |
Kaiser Permanente
| Professional | 26 | $76.87 | $115.67 | $144.96 |
United
| Professional | $448.58 | $601.34 | $1,257.98 |