| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.54 | $79.56 | $79.56 | |
Aetna
| Professional | $19.57 | $21.34 | $28.87 | |
Anthem BCBS
| Facility | $18.93 | $32.07 | $92.12 | |
Anthem BCBS
| Professional | $33.28 | $52.84 | $52.84 | |
CareSource
| Facility | $25.10 | $36.40 | $49.20 | |
Cigna
| Facility | $37.51 | $55.22 | $77.31 | |
Kaiser Permanente
| Professional | $22.59 | $27.61 | $45.07 | |
United
| Professional | $10.54 | $15.06 | $43.94 |