| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $204.66 | $290.48 | $395.89 | |
Anthem BCBS
| Professional | $210.02 | $350.03 | $552.42 | |
CareSource
| Facility | $63.11 | $63.11 | $748.56 | |
Cigna
| Professional | $289.52 | $289.52 | $554.05 | |
Kaiser Permanente
| Professional | $296.31 | $389.88 | $623.80 | |
United
| Professional | $260.01 | $397.69 | $926.25 |