| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.50 | $39.50 | $210.00 | |
Anthem BCBS
| Professional | $60.00 | $60.00 | $60.00 | |
Cigna
| Professional | $13.83 | $13.83 | $13.83 | |
Kaiser Permanente
| Professional | $18.52 | $18.52 | $18.52 | |
United
| Professional | $21.05 | $21.05 | $21.05 |