| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $32.36 | $32.36 | |
Aetna
| Professional | $25.12 | $28.84 | $151.36 | |
Anthem BCBS
| Professional | $30.90 | $39.81 | $66.07 | |
Cigna
| Professional | $28.18 | $40.74 | $54.95 | |
Kaiser Permanente
| Professional | $309.03 | $309.03 | $309.03 | |
Select Health
| Professional | $18.62 | $18.62 | $24.55 | |
United
| Professional | $28.18 | $40.74 | $58.88 |