| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $335.16 | $895.26 | $1,597.68 | |
Aetna
| Professional | $335.16 | $413.28 | $563.07 | |
Anthem BCBS
| Facility | $328.22 | $556.91 | $1,743.84 | |
Anthem BCBS
| Professional | $151.19 | $201.60 | $786.54 | |
CareSource
| Facility | $382.87 | $705.60 | $987.84 | |
Cigna
| Facility | $267.12 | $1,108.80 | $1,398.41 | |
Cigna
| Professional | $229.51 | $579.03 | $1,507.34 | |
Kaiser Permanente
| Professional | $504.00 | $655.20 | $3,927.26 | |
Oscar Health
| Professional | $609.84 | $705.60 | $932.40 | |
United
| Professional | $211.68 | $302.39 | $730.80 |