| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.60 | $79.43 | $380.19 | |
Aetna
| Professional | $10.96 | $25.70 | $100.00 | |
Anthem BCBS
| Professional | $13.80 | $16.22 | $23.99 | |
Cigna
| Professional | $14.13 | $48.98 | $91.20 | |
Kaiser Permanente
| Professional | $15.49 | $75.86 | $204.17 | |
Select Health
| Professional | $10.96 | $50.12 | $53.70 | |
United
| Professional | $15.14 | $44.67 | $112.20 |