| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.09 | $14.09 | $20.36 | |
Aetna
| Professional | $14.09 | $14.38 | $16.42 | |
Anthem BCBS
| Facility | $17.25 | $27.60 | $63.31 | |
Anthem BCBS
| Professional | $7.40 | $14.35 | $30.75 | |
CareSource
| Facility | $24.15 | $26.74 | $33.81 | |
Cigna
| Professional | $10.19 | $10.19 | $86.18 | |
Kaiser Permanente
| Professional | $14.32 | $17.25 | $98.34 | |
United
| Professional | $8.61 | $17.43 | $24.75 |