| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $87.10 | $263.03 | $467.74 |
Aetna
| Professional | $275.42 | $363.08 | $724.44 | |
Anthem BCBS
| Professional | $371.54 | $478.63 | $724.44 | |
Cigna
| Professional | $354.81 | $562.34 | $1,000.00 | |
Kaiser Permanente
| Professional | $338.84 | $436.52 | $2,630.27 | |
Kaiser Permanente
| Professional | 26 | $97.72 | $128.82 | $257.04 |
Oscar Health
| Professional | $100.00 | $257.04 | $562.34 | |
United
| Professional | $354.81 | $691.83 | $1,202.26 |