| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.88 | $71.20 | $92.40 | |
Anthem BCBS
| Professional | $68.91 | $88.48 | $156.19 | |
CareSource
| Facility | $47.29 | $64.45 | $88.36 | |
Cigna
| Professional | $78.16 | $86.90 | $163.55 | |
Kaiser Permanente
| Professional | $75.92 | $95.72 | $167.28 | |
United
| Professional | $61.82 | $87.67 | $154.08 |