| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $56.23 | $56.23 | |
Aetna
| Professional | $32.36 | $32.36 | $32.36 | |
Anthem BCBS
| Facility | $5.89 | $5.89 | $5.89 | |
Anthem BCBS
| Professional | $5.62 | $5.62 | $6.61 | |
Cigna
| Professional | $17.38 | $17.38 | $17.38 | |
Kaiser Permanente
| Professional | $162.18 | $162.18 | $162.18 | |
United
| Professional | $9.33 | $9.33 | $9.33 |