| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.03 | $46.98 | $52.59 | |
Aetna
| Professional | $45.21 | $50.64 | $84.17 | |
Ambetter
| Professional | $69.51 | $86.89 | $91.99 | |
Anthem BCBS
| Professional | $37.06 | $67.81 | $104.34 | |
CareSource
| Facility | $64.05 | $64.05 | $64.05 | |
Cigna
| Professional | $50.59 | $68.41 | $117.02 | |
Kaiser Permanente
| Professional | $51.91 | $61.35 | $325.74 | |
Oscar Health
| Professional | $58.27 | $68.43 | $87.30 | |
United
| Professional | $49.29 | $73.70 | $119.15 |