| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.40 | $0.40 | $0.40 | |
Aetna
| Professional | $0.40 | $0.40 | $0.41 | |
Anthem BCBS
| Facility | $0.80 | $0.85 | $0.96 | |
Anthem BCBS
| Professional | $0.70 | $1.06 | $1.57 | |
Blue Shield
| Professional | $40.00 | $40.00 | $40.00 | |
Cigna
| Professional | $0.52 | $0.52 | $0.52 | |
Kaiser Permanente
| Professional | $1.00 | $2.00 | $6.00 | |
Lucent Health
| Facility | $80.00 | $100.00 | $100.00 | |
Providence
| Facility | $0.42 | $1.10 | $1.77 | |
Providence
| Professional | $0.40 | $0.40 | $0.52 | |
United
| Professional | $4.59 | $4.59 | $4.59 |