| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.70 | $239.08 | $267.04 | |
Aetna
| Professional | $228.42 | $257.14 | $410.81 | |
Ambetter
| Professional | $304.60 | $427.63 | $464.07 | |
Anthem BCBS
| Professional | $195.47 | $370.03 | $513.69 | |
CareSource
| Facility | $286.74 | $286.74 | $286.74 | |
Cigna
| Professional | $257.10 | $348.00 | $602.17 | |
Kaiser Permanente
| Professional | $267.27 | $315.86 | $784.87 | |
Oscar Health
| Professional | $233.63 | $359.39 | $466.60 | |
United
| Professional | $250.99 | $378.13 | $655.20 |