| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.30 | $16.30 | $20.09 | |
Aetna
| Professional | $16.30 | $16.30 | $19.55 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
Anthem BCBS
| Professional | $24.00 | $24.00 | $24.00 | |
Cigna
| Facility | $13.99 | $13.99 | $13.99 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
Kaiser Permanente
| Professional | $13.29 | $20.23 | $42.66 | |
United
| Professional | $13.38 | $13.38 | $21.50 |