| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.13 | $309.03 | $794.33 | |
Aetna
| Professional | $89.13 | $114.82 | $151.36 | |
Anthem BCBS
| Facility | $177.83 | $416.87 | $691.83 | |
Anthem BCBS
| Professional | $60.26 | $60.26 | $141.25 | |
Cigna
| Facility | $75.86 | $93.33 | $436.52 | |
Cigna
| Professional | $66.07 | $89.13 | $208.93 | |
Kaiser Permanente
| Professional | $199.53 | $204.17 | $389.05 | |
Select Health
| Professional | $100.00 | $141.25 | $141.25 | |
United
| Professional | $60.26 | $60.26 | $85.11 |