| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.14 | $31.91 | $34.36 | |
Aetna
| Professional | $21.86 | $42.02 | $89.13 | |
Aetna
| Professional | 25 | $78.05 | $78.05 | $78.05 |
Ambetter
| Professional | $48.90 | $70.66 | $103.11 | |
Anthem BCBS
| Professional | $39.88 | $50.93 | $96.89 | |
Cigna
| Professional | $34.56 | $57.48 | $112.06 | |
Kaiser Permanente
| Professional | $47.44 | $70.66 | $98.92 | |
United
| Professional | $38.00 | $51.77 | $120.83 |