| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.14 | $9.14 | $13.22 | |
Aetna
| Professional | $9.14 | $9.33 | $10.66 | |
Anthem BCBS
| Facility | $11.20 | $17.92 | $41.10 | |
Anthem BCBS
| Professional | $4.76 | $9.31 | $18.30 | |
CareSource
| Facility | $15.68 | $17.36 | $21.95 | |
Cigna
| Professional | $5.09 | $5.09 | $5.09 | |
Kaiser Permanente
| Professional | $9.30 | $11.20 | $98.34 | |
United
| Professional | $5.47 | $11.32 | $16.05 |