| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.50 | $20.42 | |
Aetna
| Professional | $19.05 | $19.05 | $22.39 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.04 | |
Anthem BCBS
| Professional | $22.91 | $22.91 | $22.91 | |
Cigna
| Facility | $21.38 | $21.38 | $21.38 | |
Cigna
| Professional | $21.38 | $21.38 | $21.38 | |
Kaiser Permanente
| Professional | $56.23 | $56.23 | $56.23 | |
United
| Professional | $22.91 | $22.91 | $27.54 |