| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.60 | $39.64 | $69.61 | |
Aetna
| Professional | $14.60 | $19.92 | $79.08 | |
Ambetter
| Professional | $13.18 | $13.18 | $13.18 | |
Anthem BCBS
| Facility | $15.85 | $28.05 | $75.98 | |
Anthem BCBS
| Professional | $8.13 | $10.85 | $44.01 | |
CareSource
| Facility | $13.25 | $21.96 | $35.14 | |
Cigna
| Facility | $21.93 | $48.31 | $67.94 | |
Cigna
| Professional | $13.60 | $26.85 | $33.56 | |
Kaiser Permanente
| Professional | $24.00 | $28.55 | $78.90 | |
United
| Professional | $9.22 | $15.56 | $32.38 |