| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.65 | $40.98 | $46.45 | |
Aetna
| Professional | $39.60 | $44.73 | $140.46 | |
Ambetter
| Professional | $76.65 | $76.65 | $78.01 | |
Anthem BCBS
| Professional | $32.24 | $59.14 | $91.24 | |
CareSource
| Facility | $55.70 | $55.70 | $55.70 | |
Cigna
| Professional | $44.24 | $59.78 | $102.00 | |
Kaiser Permanente
| Professional | $45.82 | $54.15 | $189.00 | |
Oscar Health
| Professional | $51.32 | $60.39 | $77.05 | |
United
| Facility | $68.11 | $68.11 | $68.11 | |
United
| Professional | $42.79 | $63.90 | $103.66 |