| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.32 | $3,460.00 | $6,915.00 | |
Aetna
| Professional | $192.21 | $299.32 | $492.45 | |
Anthem BCBS
| Facility | $996.37 | $2,722.51 | $5,292.58 | |
Anthem BCBS
| Professional | $240.25 | $372.29 | $612.82 | |
Cigna
| Professional | $202.96 | $319.73 | $651.63 | |
Kaiser Permanente
| Professional | $240.35 | $365.57 | $1,583.00 | |
Oscar Health
| Professional | $317.94 | $424.78 | $586.92 | |
United
| Facility | $1,036.00 | $3,250.00 | $5,272.00 | |
United
| Professional | $317.99 | $458.00 | $858.30 |