| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $77.62 | $457.09 | |
Aetna
| Professional | $15.85 | $18.20 | $32.36 | |
Anthem BCBS
| Facility | $30.20 | $69.18 | $117.49 | |
Anthem BCBS
| Professional | $10.00 | $10.00 | $18.62 | |
Cigna
| Facility | $14.13 | $15.85 | $64.57 | |
Cigna
| Professional | $12.59 | $17.78 | $28.84 | |
Kaiser Permanente
| Professional | $33.88 | $79.43 | $79.43 | |
Select Health
| Professional | $23.99 | $23.99 | $23.99 | |
United
| Facility | $10.96 | $13.18 | $13.49 | |
United
| Professional | $10.23 | $10.47 | $17.78 |