| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.12 | $144.69 | $163.88 | |
Aetna
| Professional | $142.24 | $157.81 | $257.73 | |
Ambetter
| Professional | $149.83 | $163.79 | $300.00 | |
Anthem BCBS
| Professional | $120.22 | $227.18 | $328.46 | |
CareSource
| Facility | $174.63 | $174.63 | $174.63 | |
Cigna
| Professional | $159.91 | $213.34 | $381.31 | |
Kaiser Permanente
| Professional | $169.94 | $200.84 | $497.48 | |
Oscar Health
| Professional | $148.50 | $226.30 | $293.01 | |
United
| Professional | $142.86 | $228.84 | $391.28 |