| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.63 | $45.19 | $91.98 | |
Aetna
| Professional | $36.90 | $47.89 | $94.77 | |
Ambetter
| Professional | $40.95 | $40.95 | $59.47 | |
Anthem BCBS
| Professional | $34.02 | $55.06 | $99.99 | |
CareSource
| Facility | $63.64 | $63.64 | $63.64 | |
Cigna
| Facility | $104.12 | $104.12 | $104.12 | |
Cigna
| Professional | $42.18 | $62.72 | $115.65 | |
Kaiser Permanente
| Professional | $43.03 | $56.13 | $158.62 | |
Oscar Health
| Professional | $49.07 | $64.19 | $94.98 | |
United
| Professional | $48.29 | $72.89 | $123.81 |