| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.34 | $62.34 | $67.23 | |
Aetna
| Professional | $58.37 | $63.75 | $91.50 | |
Anthem BCBS
| Professional | $68.52 | $88.05 | $152.03 | |
CareSource
| Professional | $66.73 | $66.73 | $66.73 | |
Cigna
| Facility | $83.52 | $83.52 | $83.52 | |
Cigna
| Professional | $69.65 | $101.20 | $167.00 | |
Kaiser Permanente
| Professional | $70.47 | $95.59 | $367.00 | |
Oscar Health
| Professional | $130.00 | $142.10 | $184.90 | |
United
| Professional | $71.14 | $95.17 | $143.63 |