| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $30.20 | $380.19 | |
Aetna
| Professional | $15.85 | $51.29 | $501.19 | |
Ambetter
| Professional | $245.47 | $288.40 | $316.23 | |
Anthem BCBS
| Professional | $18.62 | $109.65 | $426.58 | |
Cigna
| Professional | $10.23 | $100.00 | $691.83 | |
Kaiser Permanente
| Professional | $13.80 | $363.08 | $1,148.15 | |
United
| Professional | $16.22 | $27.54 | $426.58 |