| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $97.72 | $165.96 | |
Aetna
| Professional | $38.02 | $58.88 | $165.96 | |
Ambetter
| Professional | $42.66 | $50.12 | $64.57 | |
Anthem BCBS
| Professional | $48.98 | $89.13 | $138.04 | |
Cigna
| Facility | $104.71 | $104.71 | $104.71 | |
Cigna
| Professional | $48.98 | $87.10 | $169.82 | |
Kaiser Permanente
| Professional | $40.74 | $69.18 | $218.78 | |
Oscar Health
| Professional | $89.13 | $104.71 | $107.15 | |
United
| Professional | $42.66 | $79.43 | $147.91 |