| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.43 | $41.79 | $49.46 | |
Aetna
| Professional | $39.64 | $50.32 | $76.04 | |
Aetna
| Professional | 25 | $59.21 | $59.21 | $59.21 |
Ambetter
| Professional | $115.02 | $115.02 | $118.32 | |
Anthem BCBS
| Professional | $46.24 | $58.71 | $94.28 | |
Cigna
| Professional | $49.47 | $73.05 | $116.89 | |
Kaiser Permanente
| Professional | $47.76 | $62.09 | $136.51 | |
United
| Professional | $56.08 | $79.48 | $123.08 |