| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $56.23 | $56.23 | $56.23 |
Aetna
| Professional | $162.18 | $218.78 | $371.54 | |
Anthem BCBS
| Professional | $229.09 | $316.23 | $457.09 | |
Cigna
| Professional | $213.80 | $323.59 | $512.86 | |
Kaiser Permanente
| Professional | $316.23 | $1,122.02 | $1,122.02 | |
Kaiser Permanente
| Professional | 26 | $79.43 | $269.15 | $269.15 |
Select Health
| Professional | $204.17 | $223.87 | $223.87 | |
United
| Professional | $239.88 | $338.84 | $549.54 |