| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.04 | $35.04 | $93.63 | |
Aetna
| Professional | $27.94 | $41.11 | $49.02 | |
Anthem BCBS
| Facility | $10.44 | $52.71 | $67.59 | |
Anthem BCBS
| Professional | $3.72 | $4.97 | $64.51 | |
CareSource
| Facility | $52.71 | $52.71 | $84.34 | |
Cigna
| Facility | $68.52 | $115.96 | $115.96 | |
Cigna
| Professional | $60.71 | $64.43 | $80.54 | |
Kaiser Permanente
| Professional | $57.98 | $60.62 | $68.52 | |
United
| Professional | $22.14 | $31.63 | $52.71 |