| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,365.16 | $5,888.44 | $9,549.93 | |
Aetna
| Professional | $75.86 | $91.20 | $165.96 | |
Anthem BCBS
| Facility | $724.44 | $2,818.38 | $6,025.60 | |
Anthem BCBS
| Professional | $87.10 | $147.91 | $204.17 | |
Cigna
| Facility | $199.53 | $616.60 | $831.76 | |
Cigna
| Professional | $85.11 | $123.03 | $199.53 | |
Kaiser Permanente
| Professional | $77.62 | $100.00 | $302.00 | |
Oscar Health
| Professional | $151.36 | $169.82 | $204.17 | |
United
| Facility | $398.11 | $2,511.89 | $7,079.46 | |
United
| Professional | $77.62 | $107.15 | $181.97 |