| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $218.78 | $223.87 | |
Aetna
| Professional | $186.21 | $213.80 | $346.74 | |
Anthem BCBS
| Professional | $194.98 | $275.42 | $407.38 | |
Cigna
| Professional | $218.78 | $302.00 | $436.52 | |
Kaiser Permanente
| Professional | $177.83 | $251.19 | $851.14 | |
Select Health
| Professional | $177.83 | $208.93 | $331.13 | |
United
| Professional | $213.80 | $302.00 | $467.74 |