| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $74.13 | $245.47 | |
Aetna
| Professional | $52.48 | $66.07 | $125.89 | |
Anthem BCBS
| Facility | $93.33 | $123.03 | $234.42 | |
Anthem BCBS
| Professional | $74.13 | $74.13 | $74.13 | |
Cigna
| Facility | $70.79 | $70.79 | $70.79 | |
Cigna
| Professional | $70.79 | $70.79 | $70.79 | |
Kaiser Permanente
| Professional | $131.83 | $131.83 | $131.83 | |
United
| Professional | $64.57 | $77.62 | $79.43 |