| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.87 | $23.59 | $38.19 | |
Ambetter
| Professional | $47.10 | $47.10 | $47.10 | |
Anthem BCBS
| Professional | $12.10 | $15.12 | $50.59 | |
CareSource
| Facility | $35.52 | $36.79 | $60.89 | |
Cigna
| Professional | $12.58 | $38.06 | $72.19 | |
Kaiser Permanente
| Professional | $22.83 | $35.52 | $198.53 | |
Oscar Health
| Professional | $24.69 | $31.21 | $45.29 | |
United
| Professional | $15.22 | $29.31 | $59.62 |