| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.20 | $44.20 | $44.20 | |
Aetna
| Professional | $37.21 | $44.20 | $56.04 | |
Anthem BCBS
| Professional | $43.68 | $70.81 | $132.57 | |
CareSource
| Facility | $119.25 | $123.51 | $136.29 | |
Cigna
| Facility | $51.17 | $51.17 | $80.53 | |
Cigna
| Professional | $43.49 | $43.49 | $96.78 | |
Kaiser Permanente
| Professional | $77.69 | $77.69 | $114.22 | |
United
| Professional | $28.33 | $42.49 | $98.73 |