| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $77.62 | $416.87 | |
Aetna
| Professional | $63.10 | $77.62 | $104.71 | |
Anthem BCBS
| Professional | $72.44 | $102.33 | $131.83 | |
Cigna
| Professional | $67.61 | $95.50 | $199.53 | |
Kaiser Permanente
| Professional | $56.23 | $81.28 | $138.04 | |
United
| Professional | $67.61 | $95.50 | $158.49 |