| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $16.22 | $21.88 | |
Aetna
| Professional | $15.85 | $15.85 | $21.88 | |
Ambetter
| Professional | $11.22 | $11.22 | $11.22 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.05 | |
Anthem BCBS
| Professional | $23.99 | $23.99 | $23.99 | |
Kaiser Permanente
| Professional | $13.18 | $20.42 | $42.66 | |
United
| Facility | $12.88 | $25.12 | $35.48 | |
United
| Professional | $13.49 | $13.49 | $23.44 |