| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $64.57 | |
Aetna
| Professional | $33.11 | $45.71 | $74.13 | |
Anthem BCBS
| Professional | $38.90 | $61.66 | $104.71 | |
Cigna
| Facility | $37.15 | $37.15 | $37.15 | |
Cigna
| Professional | $41.69 | $64.57 | $109.65 | |
Kaiser Permanente
| Professional | $33.11 | $66.07 | $213.80 | |
Select Health
| Professional | $33.11 | $58.88 | $66.07 | |
United
| Professional | $39.81 | $61.66 | $112.20 |