| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.47 | $35.67 | $56.10 | |
Aetna
| Professional | $31.47 | $37.79 | $48.89 | |
Anthem BCBS
| Professional | $34.74 | $42.51 | $76.41 | |
CareSource
| Facility | $53.58 | $53.58 | $125.44 | |
Cigna
| Professional | $35.82 | $47.88 | $64.14 | |
Kaiser Permanente
| Professional | $42.47 | $85.34 | $85.34 | |
United
| Professional | $36.59 | $47.88 | $74.75 |