| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.72 | $6.68 | $6.68 | |
Aetna
| Professional | $0.72 | $0.72 | $6.68 | |
Anthem BCBS
| Facility | $1.84 | $1.96 | $2.22 | |
Anthem BCBS
| Professional | $0.70 | $2.47 | $4.16 | |
Blue Shield
| Professional | $40.00 | $40.00 | $40.00 | |
Cigna
| Professional | $1.02 | $1.02 | $1.02 | |
Kaiser Permanente
| Professional | $4.00 | $8.00 | $19.00 | |
Lucent Health
| Facility | $80.00 | $100.00 | $100.00 | |
Providence
| Facility | $0.76 | $3.68 | $9.55 | |
Providence
| Professional | $0.72 | $0.72 | $1.02 | |
United
| Professional | $13.02 | $13.02 | $13.02 |