| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $54.95 | $54.95 | |
Aetna
| Professional | $30.90 | $45.71 | $57.54 | |
Anthem BCBS
| Facility | $64.57 | $64.57 | $64.57 | |
Anthem BCBS
| Professional | $42.66 | $51.29 | $81.28 | |
Cigna
| Professional | $43.65 | $43.65 | $43.65 | |
Kaiser Permanente
| Professional | $186.21 | $186.21 | $186.21 | |
United
| Professional | $32.36 | $36.31 | $54.95 |