| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.24 | $163.24 | $277.50 | |
Aetna
| Professional | $163.24 | $163.24 | $254.65 | |
Anthem BCBS
| Professional | $176.00 | $176.00 | $176.00 | |
Cigna
| Facility | $179.39 | $179.39 | $179.39 | |
Cigna
| Professional | $179.39 | $179.39 | $179.39 | |
Kaiser Permanente
| Professional | $150.37 | $153.09 | $156.63 | |
Medcost
| Facility | $126.43 | $192.05 | $248.61 | |
United
| Professional | $164.98 | $192.05 | $201.65 |