| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.51 | $29.51 | $29.51 |
Aetna
| Professional | $138.94 | $172.56 | $261.04 | |
Anthem BCBS
| Professional | $128.38 | $236.55 | $354.83 | |
Cigna
| Professional | $118.46 | $211.78 | $305.13 | |
Kaiser Permanente
| Professional | $163.22 | $233.19 | $349.79 | |
Kaiser Permanente
| Professional | 26 | $27.91 | $39.15 | $59.81 |
United
| Professional | $139.36 | $199.57 | $382.08 |