| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $269.15 | $575.44 | |
Aetna
| Professional | $81.28 | $100.00 | $128.82 | |
Anthem BCBS
| Facility | $151.36 | $354.81 | $588.84 | |
Anthem BCBS
| Professional | $51.29 | $51.29 | $123.03 | |
Cigna
| Facility | $64.57 | $79.43 | $323.59 | |
Cigna
| Professional | $63.10 | $91.20 | $194.98 | |
Kaiser Permanente
| Professional | $165.96 | $165.96 | $173.78 | |
Select Health
| Professional | $85.11 | $123.03 | $123.03 | |
United
| Professional | $51.29 | $63.10 | $74.13 |