| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.52 | $62.72 | $135.22 |
Aetna
| Professional | $169.28 | $220.05 | $508.17 | |
Anthem BCBS
| Professional | $171.02 | $259.95 | $512.26 | |
Cigna
| Professional | $181.69 | $310.00 | $571.84 | |
Kaiser Permanente
| Professional | $243.13 | $387.60 | $578.33 | |
Kaiser Permanente
| Professional | 26 | $32.58 | $51.94 | $89.42 |
Oscar Health
| Professional | $44.10 | $267.51 | $795.00 | |
United
| Professional | $176.81 | $278.41 | $568.13 |