| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $93.33 | $223.87 | |
Aetna
| Professional | $61.66 | $91.20 | $229.09 | |
Anthem BCBS
| Professional | $89.13 | $125.89 | $177.83 | |
Cigna
| Facility | $60.26 | $75.86 | $109.65 | |
Cigna
| Professional | $89.13 | $117.49 | $251.19 | |
Kaiser Permanente
| Professional | $93.33 | $128.82 | $302.00 | |
Oscar Health
| Professional | $154.88 | $154.88 | $154.88 | |
United
| Professional | $79.43 | $114.82 | $208.93 |