| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $275.42 | $407.38 | |
Aetna
| Professional | $169.82 | $275.42 | $316.23 | |
Anthem BCBS
| Facility | $331.13 | $1,023.29 | $1,230.27 | |
Anthem BCBS
| Professional | $131.83 | $275.42 | $354.81 | |
Cigna
| Professional | $144.54 | $151.36 | $151.36 | |
Kaiser Permanente
| Professional | $281.84 | $309.03 | $371.54 | |
United
| Facility | $269.15 | $338.84 | $338.84 | |
United
| Professional | $128.82 | $331.13 | $588.84 |