| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $127.02 | $161.86 | $375.00 |
Aetna
| Professional | 26 | $29.13 | $200.00 | $375.00 |
Ambetter
| Professional | 26 | $46.86 | $46.86 | $50.31 |
Anthem BCBS
| Professional | 26 | $25.72 | $34.90 | $72.87 |
Cigna
| Professional | 26 | $31.44 | $51.80 | $85.65 |
Kaiser Permanente
| Professional | 26 | $30.67 | $35.22 | $72.95 |
United
| Professional | 26 | $29.19 | $39.93 | $68.67 |