| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $30.20 | $35.48 | |
Aetna
| Professional | $26.92 | $38.90 | $64.57 | |
Aetna
| Professional | 25 | $36.31 | $36.31 | $36.31 |
Anthem BCBS
| Professional | $42.66 | $57.54 | $77.62 | |
Cigna
| Professional | $57.54 | $77.62 | $144.54 | |
Kaiser Permanente
| Professional | $53.70 | $61.66 | $89.13 | |
Select Health
| Professional | $38.02 | $38.90 | $42.66 | |
United
| Professional | $45.71 | $60.26 | $104.71 |