| 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 | $2.09 | $2.47 | $2.47 | |
CareSource
| Facility | $3.13 | $3.22 | $6.28 | |
Cigna
| Professional | $1.02 | $1.02 | $1.02 | |
Kaiser Permanente
| Professional | $2.90 | $3.49 | $98.34 |