| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $20.89 | $20.89 | |
Aetna
| Professional | $10.96 | $16.98 | $22.91 | |
Anthem BCBS
| Facility | $21.38 | $21.38 | $21.38 | |
Anthem BCBS
| Professional | $12.30 | $12.30 | $28.18 | |
Cigna
| Professional | $14.13 | $14.13 | $14.13 | |
Kaiser Permanente
| Professional | $28.18 | $39.81 | $44.67 | |
Select Health
| Professional | $27.54 | $28.18 | $28.18 | |
United
| Professional | $10.72 | $11.75 | $17.78 |