| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.83 | $2,987.00 | $6,915.00 | |
Aetna
| Professional | $145.18 | $226.43 | $396.00 | |
Anthem BCBS
| Facility | $759.49 | $2,152.57 | $4,143.39 | |
Anthem BCBS
| Professional | $175.13 | $262.70 | $463.69 | |
Cigna
| Professional | $154.02 | $244.80 | $463.11 | |
Kaiser Permanente
| Professional | $183.93 | $261.26 | $502.15 | |
Oscar Health
| Professional | $183.93 | $265.86 | $390.92 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 | |
United
| Professional | $212.62 | $309.64 | $543.97 |