| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $87.10 | $398.11 | |
Anthem BCBS
| Facility | $40.74 | $40.74 | $40.74 | |
Anthem BCBS
| Professional | $42.66 | $67.61 | $102.33 | |
Cigna
| Professional | $104.71 | $245.47 | $489.78 | |
Kaiser Permanente
| Professional | $977.24 | $977.24 | $1,122.02 | |
Select Health
| Professional | $181.97 | $239.88 | $676.08 | |
United
| Professional | $104.71 | $181.97 | $363.08 |