| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.03 | $2,897.38 | $2,897.38 | |
Aetna
| Professional | $0.02 | $0.02 | $2,102.19 | |
Anthem BCBS
| Facility | $689.16 | $1,167.71 | $1,777.17 | |
Anthem BCBS
| Professional | $677.02 | $846.27 | $1,523.28 | |
CareSource
| Facility | $914.00 | $1,325.30 | $1,964.46 | |
Cigna
| Facility | $911.37 | $1,610.36 | $2,818.13 | |
Cigna
| Professional | $416.76 | $1,395.85 | $5,144.35 | |
Kaiser Permanente
| Professional | $822.60 | $1,188.20 | $7,122.88 | |
Oscar Health
| Professional | $1,105.94 | $1,279.59 | $1,690.90 | |
United
| Professional | $383.88 | $548.40 | $1,599.96 |