| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.19 | $57.19 | $79.25 | |
Aetna
| Professional | $26.14 | $57.19 | $80.01 | |
Ambetter
| Professional | $58.58 | $58.58 | $58.58 | |
Cigna
| Professional | $50.29 | $50.29 | $69.34 | |
Kaiser Permanente
| Professional | $31.67 | $54.89 | $92.00 | |
Oscar Health
| Professional | $31.66 | $54.89 | $95.46 | |
United
| Professional | $56.75 | $83.36 | $124.30 |