| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.02 | $101.22 | $237.12 | |
Aetna
| Professional | $53.27 | $72.69 | $165.09 | |
Anthem BCBS
| Professional | $69.69 | $93.26 | $172.98 | |
CareSource
| Facility | $96.24 | $132.96 | $160.97 | |
CareSource
| Professional | $96.07 | $103.62 | $132.16 | |
Cigna
| Facility | $60.00 | $70.00 | $100.61 | |
Cigna
| Professional | $52.96 | $92.15 | $138.66 | |
Kaiser Permanente
| Professional | $83.51 | $120.73 | $257.00 | |
Oscar Health
| Professional | $71.50 | $111.69 | $166.43 | |
United
| Professional | $63.97 | $93.01 | $139.46 |