| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.05 | $28.50 | $44.59 | |
Aetna
| Professional | $18.05 | $28.63 | $44.51 | |
Ambetter
| Professional | $36.25 | $36.25 | $36.25 | |
Anthem BCBS
| Professional | $18.61 | $36.44 | $65.47 | |
CareSource
| Facility | $36.07 | $36.07 | $36.07 | |
Cigna
| Facility | $26.71 | $26.71 | $26.71 | |
Cigna
| Professional | $34.52 | $34.52 | $79.58 | |
Kaiser Permanente
| Professional | $19.16 | $37.54 | $137.00 | |
Oscar Health
| Professional | $32.52 | $68.59 | $99.90 | |
United
| Professional | $34.52 | $44.80 | $74.20 |