| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.32 | $17.64 | $83.88 | |
Aetna
| Professional | $17.53 | $21.53 | $63.53 | |
Ambetter
| Professional | $16.05 | $25.92 | $33.56 | |
Anthem BCBS
| Professional | $14.41 | $29.85 | $70.31 | |
CareSource
| Facility | $55.90 | $55.90 | $55.90 | |
Cigna
| Facility | $95.35 | $95.35 | $95.35 | |
Cigna
| Professional | $19.18 | $32.36 | $89.87 | |
Kaiser Permanente
| Professional | $19.69 | $23.69 | $75.00 | |
Oscar Health
| Professional | $22.20 | $26.96 | $37.11 | |
United
| Professional | $18.64 | $40.06 | $89.03 |