| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.65 | $103.48 | $148.81 | |
Anthem BCBS
| Professional | $70.50 | $136.16 | $244.75 | |
Cigna
| Professional | $89.28 | $89.28 | $89.28 | |
Kaiser Permanente
| Professional | $96.92 | $96.92 | $260.44 | |
United
| Professional | $104.09 | $194.69 | $311.54 |