| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.99 | $37.15 | $319.18 | |
Aetna
| Professional | $20.99 | $159.31 | $369.07 | |
Anthem BCBS
| Professional | $22.33 | $208.51 | $570.16 | |
Cigna
| Professional | $29.06 | $85.75 | $683.54 | |
Kaiser Permanente
| Professional | $18.51 | $290.18 | $1,124.00 | |
United
| Professional | $42.56 | $274.27 | $471.10 |