| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.33 | $13.33 | $13.33 | |
Aetna
| Professional | $13.33 | $16.19 | $141.15 | |
Anthem BCBS
| Professional | $32.70 | $54.03 | $129.37 | |
Cigna
| Professional | $20.00 | $25.56 | $50.96 | |
Kaiser Permanente
| Professional | $118.36 | $136.11 | $608.73 | |
Oscar Health
| Professional | $23.82 | $28.70 | $56.42 | |
United
| Professional | $23.82 | $135.86 | $270.41 |