| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.89 | $53.89 | $58.12 | |
Aetna
| Professional | $50.58 | $55.10 | $79.65 | |
Anthem BCBS
| Professional | $59.37 | $74.98 | $131.72 | |
CareSource
| Professional | $57.83 | $57.83 | $57.83 | |
Cigna
| Facility | $72.36 | $72.36 | $72.36 | |
Cigna
| Professional | $60.33 | $88.03 | $144.69 | |
Kaiser Permanente
| Professional | $61.05 | $82.82 | $317.00 | |
Oscar Health
| Professional | $113.40 | $123.90 | $161.10 | |
United
| Professional | $62.18 | $82.92 | $131.97 |