| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $165.96 | $380.19 | |
Aetna
| Professional | $57.54 | $89.13 | $208.93 | |
Anthem BCBS
| Facility | $70.79 | $70.79 | $70.79 | |
Anthem BCBS
| Professional | $70.79 | $70.79 | $97.72 | |
Cigna
| Facility | $54.95 | $67.61 | $79.43 | |
Cigna
| Professional | $52.48 | $67.61 | $125.89 | |
Kaiser Permanente
| Professional | $93.33 | $154.88 | $204.17 | |
Select Health
| Professional | $93.33 | $102.33 | $104.71 | |
United
| Professional | $77.62 | $87.10 | $100.00 |