| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $77.62 | $77.62 | |
Aetna
| Professional | $70.79 | $81.28 | $109.65 | |
Anthem BCBS
| Professional | $61.66 | $87.10 | $125.89 | |
Cigna
| Professional | $60.26 | $83.18 | $138.04 | |
Kaiser Permanente
| Professional | $123.03 | $190.55 | $549.54 | |
United
| Professional | $75.86 | $112.20 | $204.17 |