| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.10 | $39.06 | $173.86 | |
Aetna
| Professional | $8.38 | $11.72 | $23.06 | |
Anthem BCBS
| Facility | $9.09 | $14.54 | $43.60 | |
Anthem BCBS
| Professional | $4.03 | $8.08 | $21.22 | |
CareSource
| Facility | $7.02 | $12.60 | $20.16 | |
CareSource
| Professional | $8.19 | $8.19 | $12.60 | |
Cigna
| Facility | $12.58 | $27.72 | $38.68 | |
Cigna
| Professional | $5.67 | $15.28 | $19.10 | |
Kaiser Permanente
| Professional | $13.77 | $14.49 | $18.98 | |
United
| Professional | $6.02 | $8.19 | $15.75 |