| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.68 | $56.07 | $76.09 | |
Aetna
| Professional | $36.68 | $53.80 | $81.59 | |
Ambetter
| Professional | $60.24 | $96.00 | $96.00 | |
Anthem BCBS
| Professional | $37.22 | $62.08 | $111.28 | |
CareSource
| Facility | $61.82 | $61.82 | $61.82 | |
Cigna
| Facility | $52.91 | $52.91 | $52.91 | |
Cigna
| Professional | $57.14 | $57.14 | $131.81 | |
Kaiser Permanente
| Professional | $37.99 | $62.17 | $124.34 | |
Oscar Health
| Professional | $58.63 | $121.90 | $168.00 | |
United
| Professional | $55.42 | $76.30 | $127.97 |