| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $489.78 | $776.25 | |
Aetna
| Professional | $181.97 | $234.42 | $288.40 | |
Anthem BCBS
| Facility | $177.83 | $302.00 | $354.81 | |
Anthem BCBS
| Professional | $109.65 | $275.42 | $275.42 | |
Cigna
| Facility | $426.58 | $602.56 | $831.76 | |
Cigna
| Professional | $138.04 | $660.69 | $1,548.82 | |
Kaiser Permanente
| Professional | $245.47 | $316.23 | $645.65 | |
Oscar Health
| Professional | $275.42 | $338.84 | $588.84 | |
United
| Facility | $245.47 | $245.47 | $275.42 | |
United
| Professional | $114.82 | $165.96 | $380.19 |