| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $104.71 | $169.82 | |
Anthem BCBS
| Professional | $77.62 | $107.15 | $181.97 | |
Cigna
| Professional | $89.13 | $128.82 | $223.87 | |
Kaiser Permanente
| Professional | $104.71 | $120.23 | $331.13 | |
Oscar Health
| Professional | $95.50 | $95.50 | $204.17 | |
United
| Professional | $89.13 | $125.89 | $229.09 |