| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.55 | $4,592.00 | $6,915.00 | |
Aetna
| Professional | $90.29 | $153.55 | $322.19 | |
Anthem BCBS
| Facility | $822.79 | $1,298.54 | $3,132.87 | |
Anthem BCBS
| Professional | $114.71 | $185.76 | $331.12 | |
Cigna
| Professional | $100.34 | $169.90 | $330.31 | |
Kaiser Permanente
| Professional | $114.72 | $185.31 | $416.41 | |
Oscar Health
| Professional | $151.78 | $217.04 | $299.89 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 | |
United
| Professional | $168.01 | $236.99 | $399.04 |