| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.17 | $21.17 | $21.17 |
Aetna
| Professional | $73.34 | $85.86 | $112.28 | |
Anthem BCBS
| Professional | $72.48 | $110.59 | $165.88 | |
Cigna
| Professional | $56.40 | $114.17 | $179.47 | |
Kaiser Permanente
| Professional | $85.04 | $121.14 | $182.23 | |
Kaiser Permanente
| Professional | 26 | $20.02 | $27.84 | $42.91 |
United
| Professional | $57.75 | $122.88 | $210.65 |