| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $380.19 | $812.83 | |
Aetna
| Professional | $114.82 | $151.36 | $218.78 | |
Anthem BCBS
| Facility | $218.78 | $501.19 | $831.76 | |
Anthem BCBS
| Professional | $173.78 | $173.78 | $239.88 | |
Cigna
| Facility | $102.33 | $112.20 | $457.09 | |
Cigna
| Professional | $89.13 | $144.54 | $389.05 | |
Kaiser Permanente
| Professional | $239.88 | $245.47 | $346.74 | |
Select Health
| Professional | $120.23 | $173.78 | $173.78 | |
United
| Professional | $104.71 | $144.54 | $346.74 |