| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $138.04 | $141.25 | |
Aetna
| Professional | $97.72 | $112.20 | $162.18 | |
Ambetter
| Professional | $194.98 | $194.98 | $194.98 | |
Anthem BCBS
| Professional | $102.33 | $144.54 | $199.53 | |
Cigna
| Professional | $109.65 | $154.88 | $275.42 | |
Kaiser Permanente
| Professional | $112.20 | $141.25 | $426.58 | |
Oscar Health
| Professional | $107.15 | $190.55 | $239.88 | |
United
| Professional | $104.71 | $151.36 | $263.03 |