| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.64 | $2,800.00 | $6,915.00 | |
Aetna
| Professional | $76.69 | $91.46 | $170.64 | |
Anthem BCBS
| Facility | $552.38 | $848.40 | $1,789.93 | |
Anthem BCBS
| Professional | $84.78 | $121.65 | $214.27 | |
Cigna
| Professional | $73.04 | $98.34 | $184.81 | |
Kaiser Permanente
| Professional | $96.89 | $104.70 | $248.15 | |
Oscar Health
| Professional | $119.70 | $143.06 | $167.35 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 | |
United
| Professional | $86.81 | $122.42 | $223.41 |