| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.46 | $0.46 | $0.46 | |
Aetna
| Professional | $0.45 | $0.46 | $0.48 | |
Anthem BCBS
| Professional | $0.10 | $0.10 | $0.59 | |
CareSource
| Facility | $3.86 | $3.86 | $3.86 | |
Cigna
| Facility | $3.85 | $3.85 | $3.85 | |
Cigna
| Professional | $0.94 | $3.85 | $3.85 | |
Kaiser Permanente
| Professional | $5.04 | $33.00 | $51.00 | |
United
| Professional | $1.81 | $4.53 | $4.53 |