| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.40 | $65.40 | $65.40 | |
Aetna
| Professional | $58.11 | $68.34 | $83.11 | |
Anthem BCBS
| Professional | $55.39 | $67.16 | $121.70 | |
Cigna
| Professional | $56.03 | $88.83 | $151.74 | |
Kaiser Permanente
| Professional | $104.52 | $148.02 | $462.84 | |
Oscar Health
| Professional | $60.00 | $93.25 | $199.60 | |
United
| Professional | $62.80 | $95.00 | $178.53 |