| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $156.11 | $197.55 | $263.39 | |
Anthem BCBS
| Professional | $177.89 | $224.12 | $421.01 | |
CareSource
| Facility | $121.04 | $121.04 | $144.26 | |
Cigna
| Professional | $215.17 | $223.67 | $415.60 | |
Kaiser Permanente
| Professional | $194.61 | $244.05 | $428.80 | |
United
| Professional | $94.25 | $226.10 | $406.14 |