| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $34.67 | $93.33 | |
Aetna
| Professional | $25.12 | $34.67 | $64.57 | |
Anthem BCBS
| Professional | $30.90 | $48.98 | $77.62 | |
Cigna
| Professional | $34.67 | $48.98 | $72.44 | |
Kaiser Permanente
| Professional | $43.65 | $100.00 | $125.89 | |
Select Health
| Professional | $30.90 | $47.86 | $52.48 | |
United
| Professional | $34.67 | $50.12 | $79.43 |