| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.61 | $42.61 | $49.18 | |
Aetna
| Professional | $41.70 | $46.03 | $53.96 | |
CareSource
| Facility | $61.91 | $61.91 | $61.91 | |
Cigna
| Facility | $62.56 | $62.56 | $62.56 | |
Cigna
| Professional | $47.02 | $47.02 | $109.75 | |
Kaiser Permanente
| Professional | $51.75 | $51.77 | $159.71 | |
Oscar Health
| Professional | $104.70 | $128.69 | $128.69 | |
United
| Professional | $50.35 | $67.41 | $105.47 |