| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.14 | $2,987.00 | $6,915.00 | |
Aetna
| Professional | $59.84 | $88.37 | $170.76 | |
Anthem BCBS
| Facility | $759.49 | $2,152.57 | $4,143.39 | |
Anthem BCBS
| Professional | $69.73 | $104.40 | $190.45 | |
Cigna
| Professional | $58.84 | $95.35 | $187.20 | |
Kaiser Permanente
| Professional | $76.48 | $107.00 | $183.40 | |
Oscar Health
| Professional | $76.48 | $108.35 | $159.30 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 | |
United
| Professional | $83.94 | $120.67 | $230.78 |