| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.74 | $18.23 | $23.30 | |
Anthem BCBS
| Professional | $10.00 | $22.55 | $44.17 | |
CareSource
| Facility | $24.31 | $28.36 | $43.56 | |
CareSource
| Professional | $20.26 | $20.26 | $24.31 | |
Cigna
| Professional | $10.65 | $10.65 | $42.95 | |
Kaiser Permanente
| Professional | $16.00 | $20.26 | $157.76 | |
United
| Professional | $8.51 | $12.16 | $35.47 |