| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $398.11 | $645.65 | |
Aetna
| Professional | $75.86 | $91.20 | $112.20 | |
Anthem BCBS
| Facility | $144.54 | $331.13 | $549.54 | |
Anthem BCBS
| Professional | $47.86 | $47.86 | $102.33 | |
Cigna
| Facility | $61.66 | $74.13 | $346.74 | |
Cigna
| Professional | $54.95 | $131.83 | $165.96 | |
Kaiser Permanente
| Professional | $162.18 | $162.18 | $162.18 | |
Select Health
| Professional | $114.82 | $114.82 | $114.82 | |
United
| Facility | $51.29 | $51.29 | $69.18 | |
United
| Professional | $47.86 | $47.86 | $85.11 |