| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.52 | $61.72 | $61.72 | |
Aetna
| Professional | $51.65 | $56.02 | $71.76 | |
Anthem BCBS
| Professional | $48.71 | $57.31 | $62.33 | |
CareSource
| Facility | $49.33 | $49.33 | $49.33 | |
Cigna
| Facility | $49.22 | $49.22 | $49.22 | |
Cigna
| Professional | $49.22 | $49.22 | $54.75 | |
Kaiser Permanente
| Professional | $64.38 | $64.38 | $103.01 | |
United
| Professional | $6.49 | $16.22 | $24.82 |