| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $181.97 | $371.54 | $416.87 |
Aetna
| Professional | 26 | $83.18 | $147.91 | $371.54 |
Ambetter
| Professional | 26 | $66.07 | $141.25 | $165.96 |
Anthem BCBS
| Professional | 26 | $91.20 | $112.20 | $165.96 |
Cigna
| Professional | 26 | $93.33 | $151.36 | $263.03 |
Kaiser Permanente
| Professional | 26 | $95.50 | $109.65 | $173.78 |
United
| Professional | 26 | $81.28 | $112.20 | $208.93 |