| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.92 | $234.36 | $262.83 | |
Aetna
| Professional | $226.27 | $254.31 | $412.40 | |
Ambetter
| Professional | $233.59 | $313.36 | $467.76 | |
Anthem BCBS
| Professional | $192.07 | $363.47 | $513.95 | |
CareSource
| Facility | $280.79 | $280.79 | $280.79 | |
Cigna
| Professional | $253.34 | $343.62 | $595.12 | |
Kaiser Permanente
| Professional | $264.77 | $312.92 | $775.66 | |
Oscar Health
| Professional | $231.86 | $357.04 | $462.26 | |
United
| Professional | $243.61 | $368.69 | $613.33 |