| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.33 | $111.33 | $116.28 | |
Aetna
| Professional | $96.70 | $121.29 | $143.22 | |
Anthem BCBS
| Professional | $106.75 | $128.08 | $223.00 | |
Cigna
| Professional | $107.43 | $107.43 | $232.01 | |
Kaiser Permanente
| Professional | $117.17 | $117.17 | $204.26 | |
United
| Professional | $113.72 | $158.04 | $238.68 |