| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.81 | $52.07 | $149.00 | |
Aetna
| Professional | $38.78 | $58.36 | $130.97 | |
Anthem BCBS
| Professional | $39.14 | $72.28 | $138.12 | |
CareSource
| Facility | $120.35 | $120.35 | $120.35 | |
Cigna
| Facility | $104.12 | $104.12 | $104.12 | |
Cigna
| Professional | $46.85 | $85.16 | $170.54 | |
Kaiser Permanente
| Professional | $44.19 | $66.23 | $267.58 | |
Oscar Health
| Professional | $50.01 | $75.59 | $118.70 | |
United
| Professional | $52.56 | $102.34 | $169.71 |