| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $3,630.78 | $7,413.10 | |
Aetna
| Professional | $72.44 | $89.13 | $169.82 | |
Anthem BCBS
| Facility | $588.84 | $1,258.93 | $1,584.89 | |
Anthem BCBS
| Professional | $81.28 | $107.15 | $169.82 | |
Cigna
| Professional | $72.44 | $97.72 | $186.21 | |
Kaiser Permanente
| Professional | $85.11 | $114.82 | $245.47 | |
Oscar Health
| Professional | $114.82 | $131.83 | $144.54 | |
United
| Facility | $354.81 | $1,513.56 | $2,511.89 | |
United
| Professional | $83.18 | $117.49 | $223.87 |