| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.97 | $28.97 | $42.98 | |
Aetna
| Professional | $28.96 | $28.97 | $45.00 | |
Anthem BCBS
| Facility | $30.94 | $33.24 | $118.80 | |
Anthem BCBS
| Professional | $29.14 | $29.14 | $29.72 | |
CareSource
| Facility | $28.97 | $29.82 | $58.45 | |
Cigna
| Facility | $31.94 | $31.94 | $31.94 | |
Cigna
| Professional | $31.94 | $31.94 | $31.94 | |
Kaiser Permanente
| Professional | $28.97 | $33.32 | $40.00 | |
United
| Professional | $32.38 | $34.08 | $39.77 |