| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.71 | $47.60 | $317.66 | |
Aetna
| Professional | $2.22 | $2.82 | $6.00 | |
Ambetter
| Professional | $1.90 | $1.90 | $2.16 | |
Anthem BCBS
| Facility | $2.35 | $4.05 | $10.40 | |
Anthem BCBS
| Professional | $1.17 | $2.35 | $6.65 | |
CareSource
| Facility | $1.87 | $3.17 | $5.07 | |
CareSource
| Professional | $2.06 | $2.06 | $3.17 | |
Cigna
| Facility | $3.22 | $6.97 | $9.81 | |
Cigna
| Professional | $1.62 | $3.72 | $4.65 | |
Kaiser Permanente
| Professional | $3.17 | $4.78 | $8.99 | |
United
| Professional | $1.90 | $4.34 | $5.24 |