| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.50 | $5.50 | $7.95 | |
Aetna
| Professional | $5.50 | $5.61 | $6.41 | |
Anthem BCBS
| Facility | $6.74 | $10.78 | $24.74 | |
Anthem BCBS
| Professional | $2.90 | $5.60 | $12.01 | |
CareSource
| Facility | $0.21 | $0.22 | $10.78 | |
Cigna
| Professional | $5.50 | $5.50 | $106.94 | |
Kaiser Permanente
| Professional | $5.59 | $6.74 | $98.34 | |
United
| Facility | $6.74 | $6.74 | $6.74 | |
United
| Professional | $3.43 | $6.72 | $10.21 |