| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.76 | $172.81 | $235.52 | |
Anthem BCBS
| Professional | $125.00 | $208.33 | $328.57 | |
CareSource
| Facility | $32.02 | $32.02 | $445.35 | |
Cigna
| Professional | $172.39 | $172.39 | $329.53 | |
Kaiser Permanente
| Professional | $176.31 | $231.99 | $371.18 | |
United
| Professional | $100.05 | $236.73 | $474.14 |