| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.64 | $21.39 | $50.72 | |
Aetna
| Professional | $9.60 | $12.80 | $25.76 | |
Anthem BCBS
| Facility | $10.62 | $17.44 | $55.36 | |
Anthem BCBS
| Professional | $4.80 | $6.40 | $25.62 | |
CareSource
| Facility | $11.93 | $16.00 | $25.60 | |
Cigna
| Facility | $15.11 | $35.20 | $49.11 | |
Cigna
| Professional | $7.33 | $19.41 | $24.26 | |
Kaiser Permanente
| Professional | $17.48 | $20.80 | $43.10 | |
United
| Professional | $7.04 | $9.60 | $16.76 |