| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $256.69 | $304.98 | $467.10 | |
Anthem BCBS
| Professional | $47.45 | $421.69 | $838.70 | |
CareSource
| Facility | $51.46 | $54.68 | $510.64 | |
CareSource
| Professional | $51.76 | $51.76 | $54.68 | |
Cigna
| Facility | $283.73 | $283.73 | $427.05 | |
Cigna
| Professional | $47.85 | $283.73 | $705.00 | |
Kaiser Permanente
| Professional | $370.39 | $779.76 | $2,801.00 | |
United
| Professional | $204.26 | $344.16 | $591.10 |