| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.72 | $69.72 | $69.72 | |
Aetna
| Professional | $67.20 | $69.72 | $73.90 | |
Anthem BCBS
| Professional | $53.69 | $56.68 | $63.35 | |
Cigna
| Facility | $71.40 | $71.40 | $71.40 | |
Cigna
| Professional | $71.40 | $71.40 | $71.40 | |
Kaiser Permanente
| Professional | $66.54 | $133.08 | $351.00 | |
United
| Professional | $79.80 | $79.80 | $86.98 |