| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $64.57 | |
Aetna
| Professional | $58.88 | $69.18 | $95.50 | |
Anthem BCBS
| Professional | $52.48 | $75.86 | $112.20 | |
Cigna
| Professional | $61.66 | $93.33 | $144.54 | |
Kaiser Permanente
| Professional | $104.71 | $147.91 | $467.74 | |
Oscar Health
| Professional | $60.26 | $91.20 | $204.17 | |
United
| Professional | $60.26 | $93.33 | $173.78 |