| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.37 | $3,360.00 | $6,915.00 | |
Aetna
| Professional | $48.35 | $83.37 | $136.68 | |
Anthem BCBS
| Facility | $7,875.00 | $7,875.00 | $7,875.00 | |
Anthem BCBS
| Professional | $60.97 | $95.39 | $169.54 | |
Cigna
| Professional | $54.37 | $88.18 | $180.25 | |
Kaiser Permanente
| Professional | $60.32 | $101.12 | $220.00 | |
Oscar Health
| Professional | $79.48 | $118.03 | $163.08 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 | |
United
| Professional | $83.70 | $121.97 | $210.55 |