| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.13 | $398.13 | $398.13 | |
Aetna
| Professional | $398.13 | $433.15 | $504.33 | |
Ambetter
| Professional | $455.97 | $455.97 | $455.97 | |
Anthem BCBS
| Professional | $436.77 | $510.22 | $922.91 | |
Cigna
| Professional | $419.19 | $720.01 | $1,409.83 | |
Kaiser Permanente
| Professional | $580.76 | $656.51 | $4,059.00 | |
Oscar Health
| Professional | $491.37 | $644.60 | $899.07 | |
United
| Professional | $279.06 | $437.74 | $957.57 |