| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $323.59 | $354.81 | |
Aetna
| Professional | $32.36 | $47.86 | $426.58 | |
Anthem BCBS
| Professional | $102.33 | $181.97 | $309.03 | |
Cigna
| Professional | $151.36 | $213.80 | $302.00 | |
Kaiser Permanente
| Professional | $269.15 | $269.15 | $269.15 | |
United
| Professional | $41.69 | $66.07 | $97.72 |