| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.45 | $84.45 | $88.28 | |
Aetna
| Professional | $82.17 | $89.50 | $110.09 | |
Anthem BCBS
| Professional | $92.07 | $109.96 | $176.09 | |
Cigna
| Professional | $92.55 | $92.55 | $92.55 | |
Kaiser Permanente
| Professional | $101.06 | $101.06 | $151.59 | |
United
| Professional | $95.67 | $131.96 | $219.12 |