| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $645.65 | $758.58 | |
Aetna
| Professional | $30.20 | $47.86 | $933.25 | |
Anthem BCBS
| Professional | $302.00 | $426.58 | $645.65 | |
Cigna
| Professional | $407.38 | $630.96 | $1,000.00 | |
Kaiser Permanente
| Professional | $380.19 | $812.83 | $1,318.26 | |
Oscar Health
| Professional | $13.49 | $23.44 | $81.28 | |
United
| Professional | $50.12 | $67.61 | $89.13 |