| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $43.65 | $43.65 | |
Aetna
| Professional | $38.02 | $43.65 | $56.23 | |
Anthem BCBS
| Professional | $48.98 | $60.26 | $95.50 | |
Cigna
| Professional | $43.65 | $43.65 | $43.65 | |
Kaiser Permanente
| Professional | $72.44 | $72.44 | $72.44 | |
Select Health
| Professional | $47.86 | $50.12 | $50.12 | |
United
| Professional | $58.88 | $79.43 | $123.03 |