| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $277.16 | $711.21 | $951.06 | |
Aetna
| Professional | $277.16 | $379.14 | $535.66 | |
Anthem BCBS
| Facility | $300.81 | $532.47 | $1,442.06 | |
Anthem BCBS
| Professional | $205.82 | $308.73 | $771.83 | |
CareSource
| Facility | $416.78 | $583.49 | $896.08 | |
CareSource
| Professional | $416.78 | $500.14 | $541.80 | |
Cigna
| Facility | $371.62 | $677.28 | $1,285.24 | |
Cigna
| Professional | $208.16 | $378.47 | $1,381.43 | |
Kaiser Permanente
| Professional | $335.51 | $541.80 | $3,247.32 | |
Oscar Health
| Facility | $2,123.17 | $2,656.82 | $2,932.00 | |
Oscar Health
| Professional | $504.30 | $520.98 | $771.04 | |
United
| Professional | $145.13 | $242.38 | $757.33 |