| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $154.04 | $375.00 | $447.27 |
Aetna
| Professional | 26 | $96.92 | $274.98 | $375.00 |
Ambetter
| Professional | 26 | $142.62 | $165.06 | $181.60 |
Anthem BCBS
| Professional | 26 | $92.28 | $131.88 | $231.89 |
Cigna
| Professional | 26 | $101.32 | $177.18 | $290.63 |
Kaiser Permanente
| Professional | 26 | $107.48 | $134.41 | $255.65 |
United
| Professional | 26 | $88.15 | $139.93 | $227.85 |