| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.68 | $94.68 | $97.63 | |
Aetna
| Professional | $81.19 | $102.36 | $119.88 | |
Anthem BCBS
| Professional | $92.07 | $109.10 | $186.05 | |
Cigna
| Professional | $92.55 | $92.55 | $200.11 | |
Kaiser Permanente
| Professional | $101.06 | $101.06 | $176.18 | |
United
| Professional | $93.56 | $131.99 | $210.70 |