| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $397.61 | $1,062.07 | $1,895.37 | |
Aetna
| Professional | $358.74 | $418.54 | $573.99 | |
Anthem BCBS
| Facility | $389.38 | $660.69 | $2,068.77 | |
Anthem BCBS
| Professional | $179.37 | $239.16 | $800.00 | |
CareSource
| Facility | $454.21 | $837.07 | $1,171.90 | |
Cigna
| Facility | $316.89 | $1,315.40 | $1,370.97 | |
Cigna
| Professional | $297.99 | $803.31 | $1,861.79 | |
Kaiser Permanente
| Professional | $597.91 | $777.28 | $4,661.55 | |
Oscar Health
| Professional | $723.47 | $837.07 | $1,106.13 | |
United
| Professional | $251.12 | $358.75 | $845.27 |