| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $1,071.52 | |
Aetna
| Professional | $100.00 | $676.08 | $1,071.52 | |
Anthem BCBS
| Professional | $512.86 | $1,096.48 | $1,584.89 | |
Cigna
| Professional | $812.83 | $812.83 | $812.83 | |
Kaiser Permanente
| Professional | $120.23 | $131.83 | $1,737.80 | |
Select Health
| Professional | $85.11 | $933.25 | $1,122.02 | |
United
| Professional | $338.84 | $1,047.13 | $1,778.28 |