| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.04 | $24.02 | $30.94 | |
Anthem BCBS
| Professional | $13.08 | $29.13 | $57.15 | |
CareSource
| Facility | $31.79 | $37.09 | $56.95 | |
CareSource
| Professional | $26.49 | $26.49 | $31.79 | |
Cigna
| Professional | $13.93 | $13.93 | $56.16 | |
Kaiser Permanente
| Professional | $23.46 | $26.49 | $206.73 | |
United
| Professional | $11.13 | $15.89 | $46.37 |