| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $79.43 | $95.50 | |
Aetna
| Professional | $67.61 | $85.11 | $380.19 | |
Anthem BCBS
| Professional | $75.86 | $95.50 | $144.54 | |
Cigna
| Professional | $64.57 | $91.20 | $138.04 | |
Kaiser Permanente
| Professional | $100.00 | $204.17 | $371.54 | |
Select Health
| Professional | $70.79 | $87.10 | $125.89 | |
United
| Professional | $83.18 | $112.20 | $177.83 |