| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.34 | $0.34 | $0.34 | |
Aetna
| Professional | $0.34 | $0.34 | $0.34 | |
Anthem BCBS
| Professional | $0.94 | $1.11 | $1.11 | |
CareSource
| Facility | $0.91 | $0.94 | $1.83 | |
Cigna
| Professional | $0.42 | $0.42 | $0.42 | |
Kaiser Permanente
| Professional | $0.74 | $0.89 | $98.34 |