| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $83.18 | $87.10 | |
Aetna
| Professional | $81.28 | $89.13 | $112.20 | |
Anthem BCBS
| Professional | $97.72 | $109.65 | $120.23 | |
Cigna
| Professional | $93.33 | $93.33 | $93.33 | |
Kaiser Permanente
| Professional | $104.71 | $104.71 | $158.49 | |
United
| Professional | $93.33 | $131.83 | $229.09 |