| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.58 | $92.58 | $92.58 | |
Aetna
| Professional | $55.27 | $97.49 | $114.33 | |
Anthem BCBS
| Professional | $101.83 | $183.71 | $237.38 | |
Cigna
| Facility | $240.84 | $240.84 | $240.84 | |
Cigna
| Professional | $91.60 | $154.50 | $346.50 | |
Kaiser Permanente
| Professional | $99.76 | $144.09 | $332.52 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 | |
United
| Professional | $82.44 | $112.76 | $173.56 |