| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.10 | $13.10 | $13.10 | |
Aetna
| Professional | $8.52 | $13.10 | $16.55 | |
Anthem BCBS
| Professional | $9.35 | $17.21 | $38.29 | |
CareSource
| Facility | $17.60 | $20.70 | $40.57 | |
CareSource
| Professional | $17.60 | $17.60 | $17.60 | |
Cigna
| Facility | $8.94 | $12.44 | $12.44 | |
Cigna
| Professional | $10.57 | $10.57 | $23.36 | |
Kaiser Permanente
| Professional | $15.73 | $20.70 | $37.26 | |
United
| Professional | $6.88 | $9.90 | $17.07 |