| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $66.07 | $66.07 | |
Aetna
| Professional | $57.54 | $64.57 | $81.28 | |
Anthem BCBS
| Professional | $70.79 | $89.13 | $141.25 | |
Cigna
| Professional | $66.07 | $66.07 | $66.07 | |
Kaiser Permanente
| Professional | $107.15 | $107.15 | $107.15 | |
Select Health
| Professional | $72.44 | $75.86 | $75.86 | |
United
| Professional | $85.11 | $112.20 | $177.83 |