| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $116.15 | $116.50 | $163.69 | |
Anthem BCBS
| Professional | $121.90 | $150.71 | $218.30 | |
Cigna
| Professional | $89.28 | $89.28 | $161.94 | |
Kaiser Permanente
| Professional | $110.04 | $156.91 | $201.74 | |
United
| Professional | $132.26 | $194.92 | $331.94 |