| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $138.04 | $162.18 | |
Aetna
| Professional | $123.03 | $165.96 | $251.19 | |
Anthem BCBS
| Professional | $194.98 | $263.03 | $354.81 | |
Cigna
| Professional | $263.03 | $323.59 | $398.11 | |
Kaiser Permanente
| Professional | $234.42 | $281.84 | $363.08 | |
Select Health
| Professional | $165.96 | $177.83 | $194.98 | |
United
| Professional | $169.82 | $229.09 | $398.11 |