| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $243.09 | $702.99 | $702.99 | |
Aetna
| Professional | $83.39 | $688.70 | $800.06 | |
Anthem BCBS
| Professional | $182.21 | $303.20 | $594.49 | |
CareSource
| Facility | $223.49 | $223.49 | $223.49 | |
Cigna
| Facility | $803.63 | $803.63 | $803.63 | |
Cigna
| Professional | $630.72 | $630.72 | $637.92 | |
Kaiser Permanente
| Professional | $825.08 | $825.08 | $1,237.61 | |
United
| Professional | $67.22 | $197.74 | $428.18 |