| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.93 | $33.86 | $66.38 | |
Aetna
| Professional | $13.93 | $17.80 | $32.93 | |
Anthem BCBS
| Facility | $15.12 | $25.69 | $72.45 | |
Anthem BCBS
| Professional | $6.97 | $9.30 | $39.67 | |
CareSource
| Facility | $13.97 | $20.94 | $33.50 | |
Cigna
| Facility | $20.96 | $46.07 | $58.82 | |
Cigna
| Professional | $11.61 | $25.61 | $32.01 | |
Kaiser Permanente
| Professional | $22.88 | $27.22 | $67.65 | |
United
| Professional | $10.68 | $13.75 | $38.04 |