| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $28.84 | $28.84 | |
Aetna
| Professional | $19.95 | $19.95 | $28.84 | |
Anthem BCBS
| Facility | $102.33 | $102.33 | $102.33 | |
Anthem BCBS
| Professional | $14.79 | $120.23 | $173.78 | |
Cigna
| Facility | $54.95 | $67.61 | $79.43 | |
Kaiser Permanente
| Professional | $64.57 | $64.57 | $64.57 | |
United
| Professional | $34.67 | $39.81 | $60.26 |