| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.09 | $119.27 | $600.05 | |
Aetna
| Professional | $34.53 | $81.19 | $118.00 | |
Anthem BCBS
| Facility | $759.49 | $2,152.57 | $4,143.39 | |
Anthem BCBS
| Professional | $27.48 | $46.25 | $165.56 | |
Cigna
| Facility | $81.08 | $81.08 | $182.43 | |
Cigna
| Professional | $19.76 | $50.23 | $146.33 | |
Kaiser Permanente
| Professional | $20.47 | $20.47 | $161.91 | |
United
| Professional | $29.40 | $70.89 | $115.95 |