| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.55 | $87.10 | $186.21 | |
Aetna
| Professional | $23.99 | $33.88 | $102.33 | |
Anthem BCBS
| Facility | $48.98 | $114.82 | $190.55 | |
Anthem BCBS
| Professional | $16.60 | $16.60 | $46.77 | |
Cigna
| Facility | $20.89 | $25.70 | $104.71 | |
Cigna
| Professional | $18.20 | $38.02 | $57.54 | |
Kaiser Permanente
| Professional | $54.95 | $56.23 | $75.86 | |
Select Health
| Professional | $27.54 | $38.90 | $38.90 | |
United
| Professional | $16.60 | $16.60 | $23.44 |