| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.36 | $19.36 | $32.77 | |
Aetna
| Professional | $19.35 | $19.36 | $23.58 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
Anthem BCBS
| Professional | $19.48 | $19.48 | $19.87 | |
Cigna
| Facility | $21.40 | $21.40 | $21.40 | |
Cigna
| Professional | $21.40 | $21.40 | $21.40 | |
Kaiser Permanente
| Professional | $19.36 | $68.00 | $73.00 | |
United
| Professional | $22.78 | $22.78 | $31.57 |