| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.64 | $195.74 | $552.00 | |
Aetna
| Professional | $40.39 | $56.40 | $71.45 | |
Ambetter
| Professional | $31.07 | $37.28 | $62.14 | |
Anthem BCBS
| Facility | $44.85 | $76.45 | $215.00 | |
Anthem BCBS
| Professional | $21.54 | $31.92 | $113.15 | |
CareSource
| Facility | $35.22 | $62.14 | $99.42 | |
CareSource
| Professional | $40.39 | $40.39 | $62.14 | |
Cigna
| Facility | $58.00 | $109.27 | $181.38 | |
Cigna
| Professional | $33.90 | $75.58 | $94.48 | |
Kaiser Permanente
| Professional | $67.90 | $71.45 | $93.62 | |
United
| Professional | $32.11 | $38.22 | $79.81 |