| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.59 | $192.40 | $215.55 | |
Aetna
| Professional | $185.99 | $207.57 | $323.62 | |
Ambetter
| Professional | $281.24 | $448.00 | $638.40 | |
Anthem BCBS
| Professional | $157.88 | $298.86 | $423.87 | |
CareSource
| Facility | $231.28 | $231.28 | $231.28 | |
Cigna
| Professional | $208.20 | $283.14 | $489.77 | |
Kaiser Permanente
| Professional | $217.45 | $256.98 | $638.35 | |
Oscar Health
| Professional | $191.47 | $294.83 | $379.18 | |
United
| Professional | $203.27 | $303.80 | $493.58 |