| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $83.18 | $83.18 | |
Aetna
| Professional | $51.29 | $72.44 | $85.11 | |
Anthem BCBS
| Professional | $69.18 | $91.20 | $141.25 | |
Cigna
| Professional | $66.07 | $66.07 | $66.07 | |
Kaiser Permanente
| Professional | $107.15 | $107.15 | $107.15 | |
Select Health
| Professional | $72.44 | $75.86 | $75.86 | |
United
| Professional | $83.18 | $112.20 | $173.78 |