| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $48.80 | $48.80 | $48.80 |
Aetna
| Professional | $56.07 | $66.59 | $82.19 | |
Aetna
| Professional | 26 | $38.90 | $46.46 | $57.33 |
Anthem BCBS
| Professional | $60.70 | $87.23 | $127.19 | |
Anthem BCBS
| Professional | 26 | $43.43 | $59.04 | $86.28 |
Cigna
| Professional | $70.70 | $93.15 | $124.74 | |
Cigna
| Professional | 26 | $50.11 | $65.00 | $88.15 |
Kaiser Permanente
| Professional | $67.90 | $94.42 | $151.97 | |
Kaiser Permanente
| Professional | 26 | $46.16 | $62.87 | $96.71 |
United
| Professional | $72.00 | $93.79 | $168.26 | |
United
| Professional | 26 | $49.65 | $66.69 | $126.62 |