| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.07 | $104.34 | $122.76 | |
Aetna
| Professional | $90.90 | $110.48 | $150.86 | |
Ambetter
| Professional | $88.40 | $114.39 | $183.35 | |
Anthem BCBS
| Professional | $80.15 | $134.38 | $202.28 | |
CareSource
| Facility | $79.94 | $117.44 | $170.53 | |
CareSource
| Professional | $93.48 | $147.30 | $189.15 | |
Cigna
| Professional | $85.00 | $119.00 | $184.47 | |
Kaiser Permanente
| Professional | $111.91 | $123.75 | $325.89 | |
Oscar Health
| Professional | $113.25 | $132.33 | $308.10 | |
United
| Professional | $109.78 | $146.90 | $312.30 |