| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $389.05 | $446.68 | |
Aetna
| Professional | $30.20 | $47.86 | $562.34 | |
Anthem BCBS
| Professional | $181.97 | $257.04 | $389.05 | |
Kaiser Permanente
| Professional | $229.09 | $489.78 | $794.33 | |
Oscar Health
| Professional | $7.59 | $23.44 | $81.28 | |
United
| Professional | $50.12 | $67.61 | $89.13 |