| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $1,348.96 | $2,137.96 | |
Aetna
| Professional | $501.19 | $616.60 | $812.83 | |
Anthem BCBS
| Facility | $575.44 | $977.24 | $1,047.13 | |
Anthem BCBS
| Professional | $501.19 | $758.58 | $870.96 | |
Cigna
| Facility | $1,202.26 | $1,659.59 | $2,290.87 | |
Kaiser Permanente
| Professional | $676.08 | $831.76 | $1,071.52 | |
Oscar Health
| Professional | $758.58 | $1,023.29 | $1,621.81 | |
United
| Facility | $676.08 | $676.08 | $758.58 | |
United
| Professional | $316.23 | $457.09 | $1,047.13 |