| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $316.23 | $512.86 | |
Aetna
| Professional | $61.66 | $74.13 | $95.50 | |
Anthem BCBS
| Facility | $114.82 | $263.03 | $446.68 | |
Anthem BCBS
| Professional | $38.90 | $38.90 | $91.20 | |
Cigna
| Facility | $48.98 | $60.26 | $281.84 | |
Cigna
| Professional | $112.20 | $112.20 | $134.90 | |
Kaiser Permanente
| Professional | $128.82 | $128.82 | $128.82 | |
Select Health
| Professional | $64.57 | $91.20 | $91.20 | |
United
| Professional | $38.90 | $47.86 | $54.95 |