| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.01 | $82.88 | $84.37 | |
Aetna
| Professional | $66.28 | $81.29 | $112.11 | |
Ambetter
| Professional | $79.39 | $81.13 | $130.66 | |
Anthem BCBS
| Professional | $59.01 | $96.11 | $150.91 | |
CareSource
| Facility | $54.45 | $80.67 | $116.16 | |
CareSource
| Professional | $66.39 | $104.61 | $133.79 | |
Cigna
| Professional | $63.00 | $91.00 | $149.65 | |
Kaiser Permanente
| Professional | $76.23 | $87.07 | $246.72 | |
Oscar Health
| Professional | $84.49 | $99.40 | $237.00 | |
United
| Professional | $79.70 | $109.08 | $236.60 |