| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.70 | $93.25 | $130.83 | |
Aetna
| Professional | 25 | $99.43 | $99.43 | $99.43 |
Anthem BCBS
| Professional | $92.36 | $107.47 | $199.85 | |
Cigna
| Professional | $94.04 | $94.04 | $145.31 | |
Kaiser Permanente
| Professional | $78.00 | $102.63 | $212.99 | |
United
| Professional | $49.72 | $123.05 | $216.96 |