| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.50 | $25.81 | $94.76 | |
Aetna
| Professional | 25 | $12.30 | $12.30 | $12.30 |
Anthem BCBS
| Professional | $21.43 | $28.21 | $39.92 | |
Cigna
| Professional | $20.99 | $21.00 | $34.36 | |
Kaiser Permanente
| Professional | $15.60 | $28.91 | $56.00 | |
United
| Professional | $14.44 | $27.00 | $46.15 |