| 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 | $155.69 | $291.50 |
Anthem BCBS
| Professional | 26 | $105.78 | $142.01 | $207.40 |
Cigna
| Professional | 26 | $98.26 | $134.13 | $242.73 |
Kaiser Permanente
| Professional | 26 | $98.59 | $162.66 | $371.80 |
United
| Professional | 26 | $94.27 | $173.81 | $271.58 |