| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.72 | $35.10 | $35.10 | |
Aetna
| Professional | $0.72 | $0.72 | $35.10 | |
Anthem BCBS
| Facility | $1.86 | $1.98 | $2.25 | |
Anthem BCBS
| Professional | $0.70 | $2.49 | $6.54 | |
Blue Shield
| Professional | $40.00 | $40.00 | $40.00 | |
Cigna
| Professional | $8.16 | $8.16 | $8.16 | |
Kaiser Permanente
| Professional | $5.00 | $10.00 | $24.00 | |
Lucent Health
| Facility | $80.00 | $100.00 | $100.00 | |
Providence
| Facility | $0.76 | $4.90 | $50.19 | |
Providence
| Professional | $0.72 | $0.72 | $8.16 | |
United
| Professional | $19.47 | $19.47 | $19.47 |