| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.02 | $0.02 | $0.02 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.04 | |
Anthem BCBS
| Professional | $0.04 | $0.09 | $0.18 | |
Blue Shield
| Facility | $0.02 | $0.02 | $0.03 | |
Blue Shield
| Professional | $0.02 | $0.02 | $0.04 | |
Kaiser Permanente
| Professional | $21.00 | $31.00 | $393.93 | |
The Alliance
| Professional | $0.02 | $0.02 | $0.02 |