| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.39 | $378.99 | $424.53 | |
Aetna
| Professional | $364.83 | $409.27 | $694.27 | |
Ambetter
| Professional | $377.31 | $377.31 | $377.31 | |
Anthem BCBS
| Professional | $309.45 | $585.59 | $829.28 | |
CareSource
| Facility | $453.13 | $453.13 | $453.13 | |
Cigna
| Professional | $408.87 | $554.57 | $960.90 | |
Kaiser Permanente
| Professional | $426.81 | $504.41 | $1,252.41 | |
Oscar Health
| Professional | $373.79 | $576.39 | $744.94 | |
United
| Professional | $398.08 | $597.23 | $1,017.30 |