| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $100.00 | |
Aetna
| Professional | $60.26 | $70.79 | $128.82 | |
Ambetter
| Professional | $70.79 | $81.28 | $141.25 | |
Anthem BCBS
| Professional | $70.79 | $93.33 | $138.04 | |
Cigna
| Professional | $75.86 | $114.82 | $177.83 | |
Kaiser Permanente
| Professional | $66.07 | $91.20 | $162.18 | |
United
| Professional | $70.79 | $102.33 | $181.97 |