| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.26 | $72.26 | $83.39 | |
Aetna
| Professional | $70.98 | $77.94 | $90.90 | |
CareSource
| Facility | $104.52 | $104.52 | $104.52 | |
Cigna
| Facility | $105.82 | $105.82 | $105.82 | |
Cigna
| Professional | $79.45 | $79.45 | $185.20 | |
Kaiser Permanente
| Professional | $87.34 | $87.36 | $269.77 | |
Oscar Health
| Professional | $176.10 | $216.40 | $216.40 | |
United
| Professional | $86.05 | $114.73 | $177.95 |