| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $22.39 | $85.11 | |
Aetna
| Professional | $15.85 | $19.95 | $23.99 | |
Anthem BCBS
| Facility | $25.12 | $32.36 | $112.20 | |
Anthem BCBS
| Professional | $39.81 | $52.48 | $52.48 | |
Cigna
| Facility | $38.90 | $54.95 | $75.86 | |
Kaiser Permanente
| Professional | $22.39 | $27.54 | $44.67 | |
United
| Facility | $22.39 | $22.39 | $25.12 | |
United
| Professional | $10.47 | $15.14 | $43.65 |