| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $43.65 | $43.65 | |
Aetna
| Professional | $34.67 | $44.67 | $57.54 | |
Anthem BCBS
| Professional | $30.90 | $70.79 | $89.13 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $43.65 | $43.65 | $43.65 | |
Kaiser Permanente
| Professional | $61.66 | $77.62 | $114.82 | |
United
| Facility | $51.29 | $51.29 | $51.29 | |
United
| Professional | $28.18 | $40.74 | $64.57 |