| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.57 | $47.34 | $75.20 | |
Aetna
| Professional | $30.57 | $34.00 | $55.70 | |
Anthem BCBS
| Facility | $32.65 | $35.08 | $125.40 | |
Anthem BCBS
| Professional | $30.75 | $30.75 | $30.75 | |
CareSource
| Facility | $30.57 | $31.47 | $61.69 | |
Cigna
| Facility | $33.71 | $33.71 | $33.71 | |
Cigna
| Professional | $33.71 | $33.71 | $33.71 | |
Kaiser Permanente
| Professional | $28.13 | $41.00 | $51.00 | |
United
| Professional | $34.17 | $35.97 | $47.35 |