| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $154.88 | $154.88 | |
Aetna
| Professional | $72.44 | $97.72 | $97.72 | |
Anthem BCBS
| Professional | $38.02 | $38.02 | $93.33 | |
Cigna
| Facility | $95.50 | $95.50 | $95.50 | |
Cigna
| Professional | $69.18 | $69.18 | $95.50 | |
Kaiser Permanente
| Professional | $218.78 | $218.78 | $218.78 | |
Select Health
| Professional | $190.55 | $190.55 | $194.98 |