| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.85 | $162.29 | $263.72 | |
Anthem BCBS
| Professional | $167.04 | $224.49 | $362.73 | |
Cigna
| Professional | $135.10 | $135.10 | $242.92 | |
Kaiser Permanente
| Professional | $162.29 | $244.20 | $306.02 | |
United
| Professional | $161.68 | $293.80 | $474.58 |