| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $141.25 | $147.91 | |
Aetna
| Professional | $134.90 | $147.91 | $186.21 | |
Anthem BCBS
| Professional | $151.36 | $186.21 | $204.17 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 | |
Kaiser Permanente
| Professional | $165.96 | $165.96 | $251.19 | |
United
| Professional | $158.49 | $223.87 | $371.54 |