| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $26.92 | $33.88 | |
Aetna
| Professional | $15.14 | $28.18 | $61.66 | |
Anthem BCBS
| Facility | $28.18 | $31.62 | $60.26 | |
Anthem BCBS
| Professional | $19.50 | $36.31 | $36.31 | |
Cigna
| Facility | $38.02 | $38.02 | $42.66 | |
Cigna
| Professional | $32.36 | $32.36 | $42.66 | |
Kaiser Permanente
| Professional | $16.98 | $28.18 | $102.33 | |
Select Health
| Professional | $27.54 | $28.18 | $54.95 | |
United
| Facility | $0.05 | $29.51 | $37.15 | |
United
| Professional | $22.91 | $29.51 | $44.67 |