| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.50 | $32.36 | |
Aetna
| Professional | $19.05 | $19.05 | $19.50 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.05 | |
Anthem BCBS
| Professional | $19.50 | $19.50 | $19.50 | |
Cigna
| Facility | $21.38 | $21.38 | $21.38 | |
Cigna
| Professional | $21.38 | $21.38 | $21.38 | |
Kaiser Permanente
| Professional | $20.42 | $75.86 | $75.86 | |
United
| Professional | $22.91 | $22.91 | $39.81 |