| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.71 | $52.48 | $316.23 | |
Aetna
| Professional | $15.85 | $20.89 | $45.71 | |
Ambetter
| Professional | $14.45 | $14.79 | $33.88 | |
Anthem BCBS
| Facility | $9.55 | $26.30 | $32.36 | |
Anthem BCBS
| Professional | $7.41 | $9.55 | $27.54 | |
CareSource
| Facility | $13.18 | $15.49 | $34.67 | |
CareSource
| Professional | $15.49 | $15.49 | $23.99 | |
Cigna
| Facility | $23.99 | $47.86 | $74.13 | |
Cigna
| Professional | $11.22 | $27.54 | $36.31 | |
Kaiser Permanente
| Professional | $21.38 | $27.54 | $45.71 | |
Oscar Health
| Facility | $407.38 | $407.38 | $426.58 | |
United
| Facility | $10.96 | $21.88 | $23.99 | |
United
| Professional | $4.37 | $10.96 | $30.20 |