| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $40.74 | $263.03 | |
Aetna
| Professional | $19.05 | $28.84 | $72.44 | |
Anthem BCBS
| Professional | $21.88 | $28.84 | $42.66 | |
Cigna
| Professional | $23.44 | $30.20 | $53.70 | |
Kaiser Permanente
| Professional | $19.50 | $32.36 | $64.57 | |
Select Health
| Professional | $20.42 | $21.38 | $23.99 | |
United
| Professional | $23.44 | $30.90 | $47.86 |