| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $2.00 | $2.00 | |
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Anthem BCBS
| Professional | $1.90 | $2.00 | $2.00 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
Kaiser Permanente
| Professional | $58.00 | $58.00 | $58.00 | |
Oscar Health
| Professional | $15.23 | $15.23 | $15.23 | |
United
| Professional | $20.79 | $35.01 | $59.25 |