| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $18.70 | $28.05 | |
Aetna
| Professional | CQ | $17.46 | $17.46 | $17.46 |
Anthem BCBS
| Professional | $19.23 | $70.00 | $76.50 | |
Cigna
| Professional | $17.34 | $42.53 | $106.98 | |
Kaiser Permanente
| Professional | $28.29 | $41.51 | $60.00 | |
United
| Professional | $23.49 | $29.95 | $30.55 |