| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.96 | $388.96 | $1,038.96 | |
Aetna
| Professional | $388.96 | $497.17 | $561.50 | |
Anthem BCBS
| Facility | $380.91 | $596.60 | $750.04 | |
Anthem BCBS
| Professional | $288.83 | $519.91 | $965.09 | |
CareSource
| Facility | $584.90 | $848.11 | $1,257.11 | |
Cigna
| Facility | $760.38 | $1,286.78 | $1,803.52 | |
Cigna
| Professional | $959.24 | $1,415.46 | $3,291.96 | |
Kaiser Permanente
| Professional | $526.41 | $760.37 | $1,365.03 | |
Oscar Health
| Professional | $707.73 | $818.86 | $1,082.07 | |
United
| Facility | $731.13 | $731.13 | $731.13 | |
United
| Professional | $245.66 | $350.94 | $1,023.87 |