| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.08 | $130.08 | $130.08 | |
Aetna
| Professional | $118.13 | $130.08 | $130.08 | |
Ambetter
| Professional | $112.00 | $117.30 | $117.30 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $13.17 | $13.17 | $13.17 | |
Kaiser Permanente
| Professional | $287.00 | $287.00 | $385.00 | |
Oscar Health
| Professional | $120.54 | $127.01 | $191.82 |