| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.29 | $140.69 | $164.90 | |
Aetna
| Professional | $69.17 | $84.72 | $158.25 | |
Anthem BCBS
| Professional | $78.92 | $117.29 | $205.48 | |
CareSource
| Facility | $144.76 | $144.76 | $144.76 | |
Cigna
| Facility | $113.46 | $113.46 | $113.46 | |
Cigna
| Professional | $84.41 | $132.18 | $214.33 | |
Kaiser Permanente
| Professional | $82.27 | $119.62 | $280.04 | |
Oscar Health
| Professional | $149.30 | $191.20 | $256.70 | |
United
| Professional | $92.94 | $127.55 | $204.49 |