| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $97.72 | $97.72 | |
Aetna
| Professional | $70.79 | $95.50 | $123.03 | |
Anthem BCBS
| Professional | $4.57 | $5.75 | $120.23 | |
Cigna
| Professional | $162.18 | $162.18 | $162.18 | |
Kaiser Permanente
| Professional | $128.82 | $128.82 | $186.21 | |
United
| Professional | $125.89 | $125.89 | $134.90 |