| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $691.83 | $691.83 | |
Aetna
| Professional | $478.63 | $676.08 | $1,000.00 | |
Ambetter
| Professional | $70.79 | $74.13 | $1,995.26 | |
Anthem BCBS
| Professional | $138.04 | $776.25 | $1,071.52 | |
Cigna
| Professional | $812.83 | $812.83 | $812.83 | |
Kaiser Permanente
| Professional | $85.11 | $93.33 | $1,071.52 | |
United
| Professional | $407.38 | $1,000.00 | $1,905.46 |