| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $7.94 | $7.94 | $7.94 |
Aetna
| Professional | $57.54 | $83.18 | $120.23 | |
Anthem BCBS
| Professional | $85.11 | $117.49 | $165.96 | |
Cigna
| Professional | $77.62 | $109.65 | $186.21 | |
Kaiser Permanente
| Professional | $120.23 | $380.19 | $380.19 | |
Kaiser Permanente
| Professional | 26 | $12.59 | $41.69 | $41.69 |
Select Health
| Professional | $75.86 | $85.11 | $87.10 | |
United
| Professional | $74.13 | $120.23 | $199.53 |