| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.77 | $72.44 | $812.83 | |
Aetna
| Professional | $38.90 | $45.71 | $208.93 | |
Anthem BCBS
| Professional | $42.66 | $57.54 | $85.11 | |
Cigna
| Professional | $46.77 | $64.57 | $91.20 | |
Kaiser Permanente
| Professional | $37.15 | $53.70 | $229.09 | |
Select Health
| Professional | $37.15 | $43.65 | $70.79 | |
United
| Professional | $45.71 | $64.57 | $100.00 |