| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.57 | $87.57 | $116.36 | |
Aetna
| Professional | $87.57 | $87.57 | $400.00 | |
Anthem BCBS
| Professional | $55.00 | $55.00 | $69.20 | |
Cigna
| Professional | $107.80 | $109.94 | $868.63 | |
Kaiser Permanente
| Professional | $144.32 | $1,150.00 | $1,150.00 | |
Oscar Health
| Professional | $300.00 | $328.50 | $328.50 | |
United
| Professional | $127.65 | $367.00 | $367.00 |