| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.37 | $160.00 | $212.54 | |
Anthem BCBS
| Professional | $160.83 | $187.03 | $370.44 | |
CareSource
| Facility | $111.46 | $116.88 | $207.02 | |
Cigna
| Professional | $174.18 | $180.73 | $380.90 | |
Kaiser Permanente
| Professional | $178.70 | $224.28 | $393.75 | |
United
| Professional | $139.93 | $186.38 | $347.61 |