| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $158.49 | $165.96 | |
Aetna
| Professional | $69.18 | $87.10 | $162.18 | |
Anthem BCBS
| Professional | $91.20 | $117.49 | $181.97 | |
Cigna
| Professional | $85.11 | $131.83 | $208.93 | |
Kaiser Permanente
| Professional | $74.13 | $112.20 | $213.80 | |
Oscar Health
| Professional | $162.18 | $218.78 | $257.04 | |
United
| Facility | $162.18 | $162.18 | $162.18 | |
United
| Professional | $85.11 | $114.82 | $199.53 |