| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.32 | $96.32 | $196.98 | |
Aetna
| Professional | $41.32 | $49.71 | $59.03 | |
Anthem BCBS
| Facility | $44.85 | $73.33 | $215.00 | |
Anthem BCBS
| Professional | $21.54 | $28.73 | $55.92 | |
CareSource
| Facility | $40.39 | $87.00 | $133.57 | |
Cigna
| Facility | $70.09 | $136.71 | $181.38 | |
Cigna
| Professional | $32.68 | $32.68 | $85.79 | |
Kaiser Permanente
| Professional | $62.14 | $68.34 | $611.00 | |
United
| Professional | $32.11 | $38.22 | $127.97 |