| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $40.74 | $74.13 | |
Aetna
| Professional | $14.13 | $19.50 | $43.65 | |
Ambetter
| Professional | $13.18 | $15.14 | $15.14 | |
Anthem BCBS
| Facility | $14.45 | $28.18 | $38.02 | |
Anthem BCBS
| Professional | $10.96 | $16.98 | $44.67 | |
CareSource
| Facility | $13.18 | $13.18 | $13.18 | |
Cigna
| Facility | $21.88 | $43.65 | $66.07 | |
Cigna
| Professional | $13.49 | $26.92 | $33.88 | |
Kaiser Permanente
| Professional | $23.99 | $30.90 | $79.43 | |
United
| Facility | $12.88 | $19.95 | $26.30 | |
United
| Professional | $9.12 | $14.79 | $39.81 |