| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.51 | $94.51 | $109.07 | |
Aetna
| Professional | $92.75 | $102.33 | $118.77 | |
CareSource
| Facility | $136.47 | $136.47 | $136.47 | |
Cigna
| Facility | $138.66 | $138.66 | $138.66 | |
Cigna
| Professional | $104.45 | $104.45 | $243.68 | |
Kaiser Permanente
| Professional | $114.91 | $114.94 | $352.20 | |
Oscar Health
| Professional | $230.10 | $282.80 | $282.80 | |
United
| Professional | $105.80 | $148.91 | $233.40 |