| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.96 | $21.96 | $21.96 | |
Aetna
| Professional | $8.60 | $8.60 | $8.81 | |
Anthem BCBS
| Professional | $8.81 | $9.16 | $10.02 | |
Cigna
| Facility | $9.16 | $9.16 | $9.16 | |
Cigna
| Professional | $9.16 | $9.16 | $9.16 | |
Kaiser Permanente
| Professional | $11.80 | $11.80 | $11.80 | |
United
| Professional | $10.36 | $10.36 | $13.79 |