| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $164.51 | $233.50 | $318.23 | |
Anthem BCBS
| Professional | $170.01 | $281.38 | $444.11 | |
CareSource
| Facility | $60.82 | $60.82 | $601.73 | |
Cigna
| Professional | $232.88 | $232.88 | $445.31 | |
Kaiser Permanente
| Professional | $238.09 | $259.00 | $501.23 | |
United
| Professional | $208.93 | $322.50 | $640.03 |