| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.52 | $45.49 | $45.49 | |
Aetna
| Professional | $28.52 | $44.82 | $60.74 | |
Ambetter
| Professional | $37.54 | $37.54 | $37.54 | |
Anthem BCBS
| Professional | $28.65 | $45.19 | $72.22 | |
Cigna
| Professional | $32.57 | $51.76 | $90.63 | |
Kaiser Permanente
| Professional | $29.58 | $50.22 | $100.44 | |
United
| Professional | $44.43 | $61.32 | $100.32 |