| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.95 | $24.95 | $61.13 | |
Aetna
| Professional | $24.95 | $24.95 | $24.95 | |
Anthem BCBS
| Professional | $27.00 | $27.00 | $27.00 | |
Cigna
| Facility | $27.68 | $27.68 | $27.68 | |
Cigna
| Professional | $27.68 | $27.68 | $27.68 | |
Kaiser Permanente
| Professional | $31.46 | $32.03 | $32.77 | |
Medcost
| Facility | $29.35 | $29.35 | $38.00 | |
United
| Professional | $29.35 | $29.35 | $35.22 |