| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $30.90 | $39.81 | |
Aetna
| Professional | $30.20 | $32.36 | $50.12 | |
Anthem BCBS
| Facility | $44.67 | $58.88 | $97.72 | |
Anthem BCBS
| Professional | $36.31 | $36.31 | $36.31 | |
Cigna
| Facility | $33.88 | $33.88 | $33.88 | |
Cigna
| Professional | $33.88 | $33.88 | $33.88 | |
Kaiser Permanente
| Professional | $107.15 | $107.15 | $107.15 | |
Select Health
| Professional | $32.36 | $32.36 | $32.36 | |
United
| Professional | $33.88 | $36.31 | $40.74 |