| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $263.03 | $263.03 | |
Aetna
| Professional | $204.17 | $229.09 | $288.40 | |
Anthem BCBS
| Professional | $131.83 | $316.23 | $457.09 | |
Cigna
| Professional | $229.09 | $323.59 | $436.52 | |
Kaiser Permanente
| Professional | $602.56 | $602.56 | $602.56 | |
Select Health
| Professional | $46.77 | $63.10 | $91.20 | |
United
| Professional | $223.87 | $323.59 | $467.74 |