| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.36 | $96.17 | $300.36 | |
Anthem BCBS
| Facility | $94.24 | $94.24 | $94.24 | |
Anthem BCBS
| Professional | $80.95 | $115.90 | $154.41 | |
Blue Shield
| Professional | $97.31 | $138.87 | $170.41 | |
Cigna
| Professional | $74.29 | $103.17 | $174.88 | |
Kaiser Permanente
| Professional | $84.44 | $113.70 | $316.69 | |
Lucent Health
| Facility | $383.01 | $414.44 | $414.44 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
Providence
| Facility | $70.62 | $78.53 | $125.34 | |
Providence
| Professional | $84.70 | $106.57 | $135.44 | |
United
| Professional | $85.84 | $105.15 | $215.42 |