| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.43 | $299.13 | $335.40 | |
Aetna
| Professional | $290.88 | $322.98 | $497.26 | |
Ambetter
| Professional | $337.83 | $542.50 | $576.66 | |
Anthem BCBS
| Professional | $244.89 | $463.43 | $645.85 | |
CareSource
| Facility | $358.52 | $358.52 | $358.52 | |
Cigna
| Professional | $322.02 | $438.78 | $754.75 | |
Kaiser Permanente
| Professional | $335.98 | $397.07 | $983.73 | |
Oscar Health
| Professional | $293.77 | $452.40 | $586.12 | |
United
| Professional | $293.33 | $462.39 | $823.76 |