| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $346.74 | $346.74 | |
Aetna
| Professional | $234.42 | $338.84 | $416.87 | |
Anthem BCBS
| Professional | $338.84 | $407.38 | $912.01 | |
Cigna
| Professional | $363.08 | $363.08 | $363.08 | |
Kaiser Permanente
| Professional | $467.74 | $467.74 | $1,258.93 | |
United
| Facility | $707.95 | $707.95 | $707.95 | |
United
| Professional | $169.82 | $281.84 | $512.86 |