| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $21.88 | $38.02 | |
Aetna
| Professional | 25 | $19.95 | $19.95 | $19.95 |
Ambetter
| Professional | $15.85 | $19.95 | $26.30 | |
Anthem BCBS
| Professional | $12.30 | $21.38 | $33.11 | |
Cigna
| Professional | $12.02 | $19.05 | $29.51 | |
Kaiser Permanente
| Professional | $6.46 | $24.55 | $29.51 | |
United
| Professional | $14.45 | $21.88 | $58.88 |