| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.73 | $0.73 | $0.73 | |
Aetna
| Professional | $0.73 | $0.73 | $0.73 | |
Anthem BCBS
| Professional | $2.11 | $2.49 | $2.49 | |
CareSource
| Facility | $3.93 | $4.04 | $7.88 | |
Cigna
| Professional | $8.16 | $8.16 | $8.16 | |
Kaiser Permanente
| Professional | $4.38 | $5.28 | $98.34 |