| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.19 | $53.84 | $288.51 | |
Aetna
| Professional | $33.32 | $46.64 | $69.76 | |
Anthem BCBS
| Professional | $32.36 | $57.00 | $108.88 | |
CareSource
| Facility | $48.90 | $48.90 | $48.90 | |
Cigna
| Facility | $33.51 | $33.51 | $33.51 | |
Cigna
| Professional | $36.94 | $60.35 | $122.31 | |
Kaiser Permanente
| Professional | $41.50 | $67.45 | $200.35 | |
Oscar Health
| Professional | $47.78 | $75.92 | $108.52 | |
United
| Professional | $48.22 | $68.88 | $154.94 |