| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.03 | $92.03 | $266.24 | |
Aetna
| Professional | $85.06 | $100.56 | $137.58 | |
Anthem BCBS
| Professional | $70.13 | $107.71 | $185.93 | |
Cigna
| Facility | $60.00 | $75.00 | $109.00 | |
Cigna
| Professional | $77.17 | $107.71 | $209.95 | |
Kaiser Permanente
| Professional | $77.98 | $103.35 | $140.86 | |
United
| Facility | $105.14 | $105.14 | $135.81 | |
United
| Professional | $81.94 | $107.55 | $197.27 |