| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.93 | $133.85 | $208.85 | |
Aetna
| Professional | $117.93 | $141.34 | $182.56 | |
Anthem BCBS
| Professional | $119.89 | $171.13 | $316.57 | |
CareSource
| Facility | $246.17 | $246.17 | $475.52 | |
Cigna
| Professional | $130.40 | $173.32 | $242.31 | |
Kaiser Permanente
| Professional | $193.67 | $260.50 | $260.50 | |
United
| Professional | $122.30 | $176.22 | $386.15 |