| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $316.23 | $707.95 | |
Aetna
| Professional | $89.13 | $120.23 | $173.78 | |
Anthem BCBS
| Facility | $186.21 | $436.52 | $724.44 | |
Anthem BCBS
| Professional | $63.10 | $63.10 | $151.36 | |
Cigna
| Facility | $79.43 | $97.72 | $457.09 | |
Cigna
| Professional | $69.18 | $93.33 | $218.78 | |
Kaiser Permanente
| Professional | $208.93 | $213.80 | $691.83 | |
Select Health
| Professional | $104.71 | $151.36 | $151.36 | |
United
| Professional | $63.10 | $63.10 | $91.20 |