| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.79 | $30.26 | $378.05 | |
Aetna
| Professional | $16.79 | $35.86 | $439.82 | |
Ambetter
| Professional | $242.85 | $242.85 | $242.85 | |
Anthem BCBS
| Professional | $18.29 | $109.60 | $612.22 | |
Cigna
| Professional | $10.17 | $90.08 | $694.52 | |
Kaiser Permanente
| Professional | $15.45 | $356.49 | $963.00 | |
United
| Professional | $21.95 | $265.39 | $578.00 |