| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.46 | $28.46 | $28.46 |
Aetna
| Professional | $122.74 | $157.88 | $208.48 | |
Anthem BCBS
| Professional | $118.89 | $208.21 | $309.36 | |
Cigna
| Professional | $117.79 | $198.45 | $285.67 | |
Kaiser Permanente
| Professional | $149.35 | $213.36 | $320.04 | |
Kaiser Permanente
| Professional | 26 | $26.92 | $37.90 | $57.69 |
United
| Professional | $139.91 | $191.76 | $309.39 |