| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.65 | $158.65 | $164.90 | |
Aetna
| Professional | $130.37 | $164.90 | $201.00 | |
Anthem BCBS
| Professional | $140.18 | $177.35 | $302.87 | |
Cigna
| Professional | $141.06 | $141.06 | $304.66 | |
Kaiser Permanente
| Professional | $153.87 | $153.87 | $268.23 | |
United
| Professional | $159.52 | $221.99 | $337.48 |