| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $162.18 | $295.12 | |
Ambetter
| Professional | $112.20 | $112.20 | $112.20 | |
Anthem BCBS
| Professional | $144.54 | $186.21 | $186.21 | |
Cigna
| Professional | $125.89 | $181.97 | $346.74 | |
Kaiser Permanente
| Professional | $162.18 | $512.86 | $512.86 | |
United
| Professional | $162.18 | $218.78 | $389.05 |