| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.74 | $40.74 | $52.48 | |
Aetna
| Professional | $36.31 | $46.77 | $91.20 | |
Anthem BCBS
| Professional | $40.74 | $58.88 | $91.20 | |
Cigna
| Facility | $91.20 | $91.20 | $91.20 | |
Cigna
| Professional | $45.71 | $67.61 | $100.00 | |
Kaiser Permanente
| Professional | $34.67 | $51.29 | $234.42 | |
Select Health
| Professional | $34.67 | $46.77 | $63.10 | |
United
| Professional | $44.67 | $66.07 | $107.15 |