| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $407.38 | $724.44 | |
Aetna
| Professional | $144.54 | $199.53 | $398.11 | |
Ambetter
| Professional | $93.33 | $93.33 | $302.00 | |
Anthem BCBS
| Facility | $134.90 | $275.42 | $371.54 | |
Anthem BCBS
| Professional | $104.71 | $104.71 | $263.03 | |
Cigna
| Facility | $218.78 | $354.81 | $660.69 | |
Cigna
| Professional | $109.65 | $218.78 | $645.65 | |
Kaiser Permanente
| Professional | $186.21 | $251.19 | $1,698.24 | |
Oscar Health
| Professional | $269.15 | $275.42 | $316.23 | |
United
| Facility | $177.83 | $194.98 | $263.03 | |
United
| Professional | $75.86 | $123.03 | $316.23 |