| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.22 | $28.49 | $50.64 | |
Aetna
| Professional | $23.52 | $28.68 | $41.92 | |
Anthem BCBS
| Professional | $21.96 | $36.27 | $60.01 | |
CareSource
| Facility | $24.67 | $24.67 | $24.67 | |
Cigna
| Facility | $35.79 | $35.79 | $221.47 | |
Cigna
| Professional | $16.05 | $31.80 | $149.66 | |
Kaiser Permanente
| Professional | $31.00 | $35.75 | $78.12 | |
Oscar Health
| Professional | $28.20 | $38.50 | $57.28 | |
United
| Professional | $24.78 | $33.52 | $57.90 |