| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $32.08 | $37.74 | |
Aetna
| Professional | $23.97 | $36.15 | $52.79 | |
Ambetter
| Professional | $41.25 | $51.77 | $62.36 | |
Anthem BCBS
| Professional | $33.54 | $48.78 | $82.78 | |
CareSource
| Facility | $31.19 | $45.53 | $66.53 | |
CareSource
| Professional | $41.48 | $65.36 | $84.32 | |
Cigna
| Professional | $32.57 | $51.58 | $97.26 | |
Kaiser Permanente
| Professional | $41.58 | $53.19 | $147.60 | |
Oscar Health
| Professional | $47.80 | $54.61 | $66.55 | |
United
| Professional | $43.20 | $59.12 | $109.09 |