| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $20.00 | |
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
Anthem BCBS
| Professional | $10.59 | $12.46 | $12.46 | |
Cigna
| Facility | $34.01 | $34.01 | $64.00 | |
Cigna
| Professional | $28.91 | $28.91 | $28.91 | |
Kaiser Permanente
| Professional | $85.00 | $91.00 | $91.00 | |
Oscar Health
| Professional | $27.07 | $28.55 | $41.40 |