| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.31 | $99.31 | $105.14 | |
Aetna
| Professional | $96.81 | $105.84 | $131.18 | |
Anthem BCBS
| Professional | $106.75 | $133.78 | $208.74 | |
Cigna
| Professional | $107.43 | $107.43 | $107.43 | |
Kaiser Permanente
| Professional | $117.17 | $117.17 | $175.76 | |
United
| Professional | $111.36 | $159.13 | $238.68 |