| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.88 | $14.88 | $14.88 | |
Aetna
| Professional | $10.60 | $15.44 | $19.57 | |
Anthem BCBS
| Professional | $12.36 | $22.36 | $48.69 | |
CareSource
| Facility | $32.90 | $34.08 | $37.60 | |
Cigna
| Facility | $14.12 | $14.12 | $27.54 | |
Cigna
| Professional | $12.00 | $12.00 | $26.88 | |
Kaiser Permanente
| Professional | $18.13 | $23.50 | $31.56 | |
Oscar Health
| Professional | $15.28 | $29.05 | $43.48 | |
United
| Professional | $7.82 | $11.72 | $27.24 |