| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.88 | $91.20 | $169.82 | |
Aetna
| Professional | 25 | $117.49 | $117.49 | $117.49 |
Ambetter
| Professional | $46.77 | $56.23 | $72.44 | |
Anthem BCBS
| Professional | $67.61 | $85.11 | $85.11 | |
Cigna
| Professional | $56.23 | $89.13 | $138.04 | |
Kaiser Permanente
| Professional | $75.86 | $309.03 | $512.86 | |
United
| Professional | $72.44 | $97.72 | $186.21 |