| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $363.08 | $660.69 | |
Aetna
| Professional | $128.82 | $186.21 | $354.81 | |
Anthem BCBS
| Facility | $263.03 | $263.03 | $263.03 | |
Anthem BCBS
| Professional | $181.97 | $302.00 | $446.68 | |
Cigna
| Facility | $54.95 | $67.61 | $79.43 | |
Cigna
| Professional | $208.93 | $269.15 | $398.11 | |
Kaiser Permanente
| Professional | $213.80 | $363.08 | $407.38 | |
Select Health
| Professional | $218.78 | $234.42 | $275.42 | |
United
| Professional | $194.98 | $263.03 | $398.11 |