| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.03 | $2,987.00 | $6,915.00 | |
Aetna
| Professional | $143.13 | $227.65 | $411.69 | |
Anthem BCBS
| Facility | $759.49 | $2,152.57 | $4,143.39 | |
Anthem BCBS
| Professional | $171.81 | $261.89 | $465.06 | |
Cigna
| Professional | $150.81 | $242.16 | $465.10 | |
Kaiser Permanente
| Professional | $181.45 | $263.02 | $516.39 | |
Oscar Health
| Professional | $181.44 | $263.02 | $392.32 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 | |
United
| Professional | $208.86 | $307.39 | $567.34 |