| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.28 | $191.13 | $215.22 | |
Aetna
| Professional | $188.28 | $210.12 | $393.55 | |
Ambetter
| Professional | $215.10 | $365.15 | $1,158.61 | |
Anthem BCBS
| Professional | $157.40 | $297.85 | $423.96 | |
CareSource
| Facility | $198.37 | $268.87 | $325.01 | |
CareSource
| Professional | $199.92 | $263.25 | $451.35 | |
Cigna
| Professional | $208.36 | $280.80 | $489.87 | |
Kaiser Permanente
| Professional | $218.21 | $257.88 | $638.48 | |
Oscar Health
| Professional | $190.71 | $291.77 | $376.78 | |
United
| Professional | $194.40 | $302.39 | $540.75 |