| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $40.74 | $48.98 | |
Aetna
| Professional | $39.81 | $51.29 | $75.86 | |
Aetna
| Professional | 25 | $58.88 | $58.88 | $58.88 |
Ambetter
| Professional | $54.95 | $74.13 | $114.82 | |
Anthem BCBS
| Professional | $47.86 | $54.95 | $66.07 | |
Cigna
| Professional | $51.29 | $75.86 | $123.03 | |
Kaiser Permanente
| Professional | $44.67 | $69.18 | $138.04 | |
United
| Professional | $50.12 | $69.18 | $117.49 |