| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $186.21 | $186.21 | |
Aetna
| Professional | $107.15 | $181.97 | $295.12 | |
Anthem BCBS
| Facility | $199.53 | $223.87 | $426.58 | |
Anthem BCBS
| Professional | $239.88 | $269.15 | $363.08 | |
Cigna
| Facility | $309.03 | $309.03 | $309.03 | |
Cigna
| Professional | $229.09 | $229.09 | $323.59 | |
Kaiser Permanente
| Professional | $120.23 | $199.53 | $741.31 | |
Select Health
| Professional | $194.98 | $199.53 | $371.54 | |
United
| Facility | $0.34 | $213.80 | $263.03 | |
United
| Professional | $181.97 | $208.93 | $331.13 |