| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $697.21 | $697.21 | $697.21 | |
Aetna
| Professional | $514.38 | $678.35 | $937.59 | |
Anthem BCBS
| Professional | $87.34 | $775.82 | $950.08 | |
Cigna
| Professional | $818.96 | $818.96 | $818.96 | |
Kaiser Permanente
| Professional | $87.80 | $98.34 | $888.23 | |
United
| Professional | $538.14 | $998.46 | $1,766.96 |