| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.33 | $85.46 | $981.12 | |
Aetna
| Professional | $27.05 | $47.28 | $91.04 | |
Anthem BCBS
| Professional | $27.10 | $45.23 | $85.97 | |
Cigna
| Facility | $25.58 | $25.58 | $57.56 | |
Cigna
| Professional | $18.59 | $40.28 | $101.76 | |
Kaiser Permanente
| Professional | $23.02 | $45.08 | $208.00 | |
Kaiser Permanente
| Professional | AS | $0.82 | $0.82 | $1.60 |
United
| Professional | $33.68 | $49.57 | $69.25 |