| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $75.86 | |
Aetna
| Professional | $38.90 | $67.61 | $102.33 | |
Ambetter
| Professional | $77.62 | $77.62 | $77.62 | |
Anthem BCBS
| Professional | $43.65 | $64.57 | $97.72 | |
Cigna
| Professional | $45.71 | $83.18 | $154.88 | |
Kaiser Permanente
| Professional | $39.81 | $83.18 | $112.20 | |
Oscar Health
| Professional | $151.36 | $151.36 | $151.36 | |
United
| Professional | $43.65 | $81.28 | $154.88 |