| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Aetna
| Professional | 26 | $90.00 | $151.00 | $291.50 |
Anthem BCBS
| Professional | 26 | $90.57 | $121.59 | $177.58 |
Cigna
| Professional | 26 | $83.95 | $116.04 | $181.14 |
Kaiser Permanente
| Professional | 26 | $85.09 | $134.44 | $165.93 |
United
| Professional | 26 | $80.31 | $151.28 | $236.38 |