| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.40 | $232.35 | $429.47 | |
Ambetter
| Professional | $325.00 | $466.03 | $469.05 | |
Anthem BCBS
| Professional | $171.34 | $296.01 | $533.89 | |
CareSource
| Professional | $128.72 | $128.72 | $128.72 | |
Cigna
| Professional | $164.79 | $279.57 | $549.91 | |
Kaiser Permanente
| Professional | $160.71 | $288.66 | $424.21 | |
Oscar Health
| Professional | $146.74 | $264.76 | $500.40 | |
United
| Professional | $221.05 | $313.97 | $528.53 |