| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.15 | $15.15 | $15.15 | |
Aetna
| Professional | $13.86 | $16.76 | $21.62 | |
Ambetter
| Professional | $32.50 | $32.50 | $32.50 | |
Anthem BCBS
| Professional | $15.14 | $24.17 | $40.63 | |
CareSource
| Facility | $19.23 | $25.66 | $34.21 | |
CareSource
| Professional | $24.16 | $29.62 | $48.84 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $11.79 | $26.24 | $46.00 | |
Kaiser Permanente
| Professional | $19.23 | $24.96 | $43.33 | |
Oscar Health
| Professional | $56.30 | $56.30 | $56.30 | |
United
| Professional | $19.72 | $24.53 | $41.31 |