| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $89.13 | $199.53 | |
Aetna
| Professional | $75.86 | $112.20 | $269.15 | |
Anthem BCBS
| Professional | $109.65 | $158.49 | $234.42 | |
Cigna
| Professional | $93.33 | $138.04 | $223.87 | |
Kaiser Permanente
| Professional | $107.15 | $154.88 | $371.54 | |
Select Health
| Professional | $107.15 | $107.15 | $120.23 | |
United
| Professional | $104.71 | $141.25 | $229.09 |