| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.37 | $117.37 | $117.37 | |
Aetna
| Professional | $107.71 | $117.37 | $161.22 | |
Anthem BCBS
| Professional | $70.00 | $138.24 | $220.06 | |
CareSource
| Facility | $366.15 | $366.15 | $366.15 | |
Cigna
| Professional | $141.60 | $141.60 | $141.60 | |
Kaiser Permanente
| Professional | $190.63 | $552.00 | $596.00 | |
United
| Professional | $138.75 | $201.19 | $323.48 |