| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.10 | $96.10 | $96.10 | |
Aetna
| Professional | $69.13 | $96.10 | $129.72 | |
Ambetter
| Professional | $73.50 | $81.00 | $188.20 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $20.93 | $20.93 | $20.93 | |
Kaiser Permanente
| Professional | $248.00 | $248.00 | $248.00 | |
Oscar Health
| Professional | $93.10 | $98.09 | $147.19 |