| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.84 | $3,460.00 | $6,915.00 | |
Aetna
| Professional | $130.15 | $202.84 | $386.45 | |
Anthem BCBS
| Facility | $759.49 | $2,152.57 | $4,143.39 | |
Anthem BCBS
| Professional | $157.51 | $246.34 | $444.96 | |
Cigna
| Professional | $135.02 | $228.20 | $442.50 | |
Kaiser Permanente
| Professional | $165.67 | $252.58 | $499.47 | |
Oscar Health
| Professional | $165.67 | $249.94 | $376.28 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 | |
United
| Professional | $198.92 | $290.43 | $544.79 |