| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $43.65 | |
Aetna
| Professional | $15.85 | $28.18 | $45.71 | |
Anthem BCBS
| Professional | $19.05 | $34.67 | $67.61 | |
Cigna
| Facility | $60.26 | $60.26 | $60.26 | |
Cigna
| Professional | $20.42 | $35.48 | $69.18 | |
Kaiser Permanente
| Professional | $16.60 | $45.71 | $131.83 | |
Select Health
| Professional | $16.60 | $39.81 | $45.71 | |
United
| Professional | $19.95 | $35.48 | $66.07 |