| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $66.07 | $117.49 | |
Aetna
| Professional | $21.88 | $45.71 | $67.61 | |
Anthem BCBS
| Professional | $26.30 | $48.98 | $87.10 | |
Cigna
| Professional | $27.54 | $53.70 | $91.20 | |
Kaiser Permanente
| Professional | $20.42 | $52.48 | $223.87 | |
Select Health
| Professional | $20.42 | $53.70 | $57.54 | |
United
| Professional | $25.70 | $50.12 | $93.33 |